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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.21

V25.21

Billable

Unspecified electric (assisted) bicycle rider 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 V25.21 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The code V25.21 is used to classify injuries sustained by riders of electric (assisted) bicycles who are involved in collisions with railway trains or railway vehicles in nontraffic settings. This code is particularly relevant in scenarios where the accident occurs outside of typical roadway traffic, such as in railway yards, private property, or other non-public road environments. The injuries can range from minor to severe, depending on the circumstances of the collision. Accurate documentation is crucial, as it helps in understanding the nature of the injuries and the context in which they occurred, which can influence treatment decisions and public health responses. This code is essential for tracking morbidity and mortality associated with such incidents, contributing to data that can inform safety regulations and preventive measures for electric bicycle riders.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in injury severity and types of injuries sustained.
  • Need for precise details on the location and circumstances of the collision.
  • Potential overlap with other external cause codes for similar incidents.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the incident as a traffic accident.
  • Failure to specify the type of electric bicycle involved.
  • 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, location of the accident, and specific injuries sustained.

Common Clinical Scenarios

Patients presenting with fractures, lacerations, or concussions after a collision with a train.

Billing Considerations

Ensure that the documentation clearly differentiates between traffic and nontraffic incidents to avoid coding errors.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments and surgical notes should include the mechanism of injury and any relevant imaging results.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions, requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V25.21 When
  • According to ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to report the external cause code to provide context for the injury and to follow the guidelines for sequencing these codes correctly

Exclusion Criteria

Do NOT use V25.21 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, level 3

Clinical Scenario

Used when a patient presents to the emergency department with injuries from a collision.

Documentation Requirements

Document the nature of the injuries, the mechanism of injury, and any treatments provided.

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 collection and analysis for public health and safety initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data collection and analysis for public health and safety initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data collection and analysis for public health and safety initiatives.

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 I document to support the use of V25.21?

You should document the specifics of the accident, including the location, the type of electric bicycle involved, the nature of the injuries sustained, and any relevant circumstances that clarify the nontraffic nature of the incident.