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ICD-10 Guide
ICD-10 CodesV25.11

V25.11

Billable

Electric (assisted) bicycle 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 V25.11 is a billable code used to indicate a diagnosis of electric (assisted) bicycle passenger injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The V25.11 code is used to classify injuries sustained by passengers on electric (assisted) bicycles involved in collisions with railway trains or railway vehicles, specifically in nontraffic accidents. This code is crucial for capturing data related to the external causes of morbidity and mortality, particularly in urban settings where electric bicycles are increasingly popular. Such incidents may occur in various scenarios, such as when a passenger on an electric bicycle is struck by a train while crossing tracks or in a railway yard. Accurate coding of these events is essential for public health data collection, injury prevention strategies, and resource allocation for emergency services. The code helps in understanding the patterns of injuries associated with electric bicycles and their interactions with railway systems, which can inform safety regulations and public awareness campaigns.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the incident type (nontraffic accident vs. traffic accident)
  • Differentiation between passenger and operator injuries
  • Need for detailed documentation of the accident circumstances
  • Potential overlap with other external cause codes

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the incident as a traffic accident
  • Failure to specify the role of the individual (passenger vs. operator)
  • Inconsistent use of external cause codes across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, including details of the collision and the patient's role as a passenger.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while riding as a passenger on an electric bicycle.

Billing Considerations

Ensure that the documentation clearly states the type of bicycle and the circumstances of the accident to avoid misclassification.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, the mechanism of injury, and any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with railway vehicles.

Billing Considerations

Accurate coding is essential for tracking injury patterns and outcomes in trauma registries.

Coding Guidelines

Inclusion Criteria

Use V25.11 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • The external cause code should be reported in the secondary position to the primary diagnosis code that reflects the injury sustained

Exclusion Criteria

Do NOT use V25.11 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the visit level reflects the complexity of the case.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data accuracy and enabling better tracking of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data accuracy and enabling better tracking of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data accuracy and enabling better tracking of injury patterns.

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 is the importance of using external cause codes like V25.11?

External cause codes provide critical data for understanding injury patterns, informing public health initiatives, and improving safety regulations. They help in tracking the incidence of injuries related to specific activities, such as riding electric bicycles.