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v1.0.0
ICD-10 Guide
ICD-10 CodesV15.0

V15.0

Billable

Pedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident

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

Code Description

ICD-10 V15.0 is a billable code used to indicate a diagnosis of pedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V15.0 is used to classify injuries sustained by a pedal cycle driver involved in a collision with a railway train or railway vehicle that occurs outside of typical traffic scenarios. This code is particularly relevant in cases where the cyclist is struck by a train while on or near railway property, but not in the context of a roadway traffic accident. Clinical scenarios may include instances where a cyclist inadvertently enters a railway crossing or is involved in an accident while riding on a path adjacent to railway tracks. Accurate coding of this incident is crucial for understanding the epidemiology of cycling injuries and for implementing public health interventions aimed at reducing such accidents. Documentation should clearly indicate the circumstances of the incident, including the location and nature of the collision, to ensure appropriate coding and analysis of external causes of morbidity and mortality.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the collision (nontraffic vs. traffic accident)
  • Identifying the specific circumstances leading to the injury
  • Differentiating between various external cause codes related to cycling injuries
  • Ensuring accurate documentation of the incident location

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to capture the specific external cause of injury
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the incident, including the mechanism of injury and any relevant witness statements.

Common Clinical Scenarios

Cyclist presenting with trauma after being struck by a train while crossing tracks.

Billing Considerations

Consideration should be given to the cyclist's helmet use and other protective gear, as these factors may influence injury severity.

Trauma Surgery

Documentation Requirements

Trauma documentation must include a thorough assessment of injuries sustained, mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from a collision with a train, requiring surgical intervention.

Billing Considerations

Documentation should reflect the urgency of the situation and any pre-existing conditions that may affect treatment.

Coding Guidelines

Inclusion Criteria

Use V15.0 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code to provide a complete picture of the patient's condition
  • It is essential to document the circumstances of the injury clearly and to use the most specific code available

Exclusion Criteria

Do NOT use V15.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a cyclist presents to the emergency department after a collision with a train.

Documentation Requirements

Documentation must include details of the injury, treatment provided, and any imaging studies performed.

Specialty Considerations

Emergency medicine specialists should ensure that the mechanism of injury is clearly documented.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving railway vehicles. This specificity aids in better tracking and analysis of injury patterns and can inform public health initiatives aimed at reducing such incidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those involving railway vehicles. This specificity aids in better tracking and analysis of injury patterns and can inform public health initiatives aimed at reducing such incidents.

Reimbursement & Billing Impact

reimbursement and for understanding the epidemiology of cycling injuries.

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

What should be documented to support the use of V15.0?

Documentation should include a detailed account of the incident, including the location, circumstances leading to the collision, and any witness statements. It should also specify that the incident was a nontraffic accident involving a railway vehicle.