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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.1

V25.1

Billable

Motorcycle passenger 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 V25.1 is a billable code used to indicate a diagnosis of motorcycle passenger injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V25.1 is designated for cases where a motorcycle passenger sustains injuries due to a collision with a railway train or railway vehicle in a nontraffic accident scenario. This code is crucial for accurately capturing the circumstances surrounding the injury, which can significantly impact treatment decisions, resource allocation, and public health data analysis. Nontraffic accidents may occur in various settings, such as private property or industrial areas, where the interaction between motorcycles and railway vehicles is not governed by typical traffic laws. Accurate coding of such incidents helps in understanding the epidemiology of motorcycle-related injuries and informs preventive measures. Documentation should include details about the accident's context, the nature of the injuries sustained, and any contributing factors, such as environmental conditions or mechanical failures.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the accident can be challenging.
  • Differentiating between traffic and nontraffic accidents requires careful assessment.
  • Involvement of multiple parties (motorcycle passenger, train operator) complicates documentation.
  • Potential for overlapping codes if other injuries or conditions are present.

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances.
  • Misclassification of the accident as a traffic incident.
  • Failure to capture all relevant injuries associated with the incident.
  • Inconsistent coding practices among different healthcare providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient history, and any immediate interventions performed.

Common Clinical Scenarios

Patients arriving post-collision with varying degrees of trauma, requiring rapid assessment and intervention.

Billing Considerations

Consideration of potential secondary injuries and the need for multidisciplinary care.

Trauma Surgery

Documentation Requirements

Detailed surgical notes, including the nature of injuries and surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving complex injuries from collisions, necessitating surgical intervention.

Billing Considerations

Accurate coding of all injuries sustained during the incident is critical for surgical planning and follow-up.

Coding Guidelines

Inclusion Criteria

Use V25.1 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to document the specific circumstances of the accident to justify the use of V25
  • The code should be reported only when the patient is a motorcycle passenger involved in a nontraffic collision with a railway vehicle

Exclusion Criteria

Do NOT use V25.1 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 passenger presents with severe injuries post-collision.

Documentation Requirements

Document the nature of the injuries and the treatment provided.

Specialty Considerations

Emergency medicine providers must 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 specific coding of external causes of injuries, including those related to motorcycle accidents. This specificity aids in better tracking of injury patterns and resource allocation for prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to motorcycle accidents. This specificity aids in better tracking of injury patterns and resource allocation for prevention efforts.

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

What should be documented to support the use of V25.1?

Documentation should include the details of the accident, the role of the motorcycle passenger, the nature of injuries sustained, and any relevant environmental factors.