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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.0

V25.0

Billable

Motorcycle 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 V25.0 is a billable code used to indicate a diagnosis of motorcycle driver injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V25.0 is used to classify injuries sustained by motorcycle drivers involved in collisions with railway trains or railway vehicles that occur outside of typical traffic scenarios. This code is particularly relevant in cases where the motorcycle driver is struck by a train while on private property or in a non-traffic environment, such as a railway yard or crossing. The injuries can range from minor abrasions to severe trauma, including fractures, head injuries, and internal injuries, depending on the speed of the train and the circumstances of the collision. Accurate coding is essential for proper treatment planning, resource allocation, and statistical analysis of injury patterns related to motorcycle accidents involving trains. Documentation should clearly indicate the circumstances of the accident, including the location and nature of the collision, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved (motorcycle vs. train)
  • Documenting the location of the incident accurately
  • Understanding the nuances of external cause coding

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of injuries sustained
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must include details of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while riding a motorcycle.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V25.0.

Trauma Surgery

Documentation Requirements

Operative reports should detail the injuries sustained and the surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a motorcycle-train collision.

Billing Considerations

Accurate coding is crucial for trauma registries and outcome analysis.

Coding Guidelines

Inclusion Criteria

Use V25.0 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that external cause codes are sequenced correctly and that the primary diagnosis is documented appropriately
  • Use V25
  • 0 in conjunction with injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V25.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a motorcycle driver presents with severe injuries after a train collision.

Documentation Requirements

Detailed documentation of the patient's condition and treatment plan.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the severity of the injuries.

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, improving data accuracy for public health surveillance and injury prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health surveillance and injury prevention efforts.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy for public health surveillance and injury prevention efforts.

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 V25.0?

Documentation should include the specifics of the accident, including the location, type of vehicles involved, and the nature of the injuries sustained. Clear descriptions help ensure accurate coding.