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ICD-10 Guide
ICD-10 CodesV05.99

V05.99

Billable

Pedestrian with other conveyance injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V05.99 is a billable code used to indicate a diagnosis of pedestrian with other conveyance injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident.

Key Diagnostic Point:

The V05.99 code is utilized to classify injuries sustained by pedestrians using other conveyances, such as bicycles or scooters, when they are involved in a collision with a railway train or vehicle. This code is particularly relevant in scenarios where the specifics of the accident—whether it occurred in a traffic context or not—are not clearly defined. Such incidents can lead to severe injuries due to the high mass and speed of trains compared to other vehicles. Accurate coding is essential for tracking injury patterns, understanding public health implications, and ensuring appropriate resource allocation for trauma care. Documentation should include details about the circumstances of the accident, the type of conveyance used, and the nature of the injuries sustained to support the use of this code effectively.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity regarding traffic vs. nontraffic classification
  • Need for detailed documentation of the incident
  • Variability in injury severity and types
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to link to appropriate clinical diagnoses
  • Inconsistent use of external cause codes across cases

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should detail the mechanism of injury, type of conveyance, and any pre-existing conditions.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while riding a bicycle or scooter.

Billing Considerations

Ensure that the documentation captures the specifics of the incident to support the use of V05.99.

Trauma Surgery

Documentation Requirements

Trauma registries should include comprehensive details of the injury mechanism and patient demographics.

Common Clinical Scenarios

Trauma cases involving severe injuries from train collisions, requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma statistics and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V05.99 When
  • Follow the ICD
  • CM coding guidelines for external causes of morbidity
  • Ensure that the external cause code is sequenced correctly, typically following the injury diagnosis code
  • Document the context of the accident thoroughly to justify the use of V05

Exclusion Criteria

Do NOT use V05.99 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with severe injuries from a train collision.

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine providers should ensure thorough documentation to support the level of service billed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes, including pedestrian injuries. V05.99 provides a specific classification for injuries involving other conveyances, enhancing data accuracy for public health tracking.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, including pedestrian injuries. V05.99 provides a specific classification for injuries involving other conveyances, enhancing data accuracy for public health tracking.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use V05.99 instead of a more specific code?

Use V05.99 when the specifics of the accident are unclear, or when the type of conveyance does not fit into a more defined category. Ensure that documentation supports the use of this code.