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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.3

V25.3

Billable

Person boarding or alighting a motorcycle injured in collision with railway train or railway vehicle

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

Code Description

ICD-10 V25.3 is a billable code used to indicate a diagnosis of person boarding or alighting a motorcycle injured in collision with railway train or railway vehicle.

Key Diagnostic Point:

The ICD-10 code V25.3 is used to classify injuries sustained by individuals who are boarding or alighting from a motorcycle and are subsequently involved in a collision with a railway train or railway vehicle. This code captures the external cause of morbidity and mortality related to such incidents, which are often severe due to the high impact nature of train collisions. The clinical context for this code includes scenarios where a motorcyclist is struck while attempting to board or disembark from their motorcycle in proximity to railway tracks. Such incidents may result in a range of injuries, from minor abrasions to life-threatening trauma, necessitating immediate medical attention. Accurate coding is crucial for understanding the epidemiology of motorcycle-related injuries and for implementing public health interventions aimed at reducing such accidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the injury (boarding vs. alighting)
  • Differentiating between types of vehicles involved (train vs. other vehicles)
  • Documenting the location and environmental factors contributing to the incident
  • Understanding the nuances of external cause coding guidelines

Audit Risk Factors

  • Inadequate documentation of the incident details
  • Misclassification of the type of vehicle involved
  • Failure to capture the boarding or alighting action
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including the patient's actions (boarding or alighting) and the circumstances of the collision.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while on a motorcycle, requiring immediate assessment and intervention.

Billing Considerations

Consideration of potential multiple injuries and the need for comprehensive documentation to support all diagnoses.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the injury mechanism, including the speed of the train and the position of the motorcycle.

Common Clinical Scenarios

Trauma cases involving severe injuries from train collisions, necessitating surgical intervention.

Billing Considerations

Accurate coding is essential for trauma statistics and for understanding the impact of such injuries on public health.

Coding Guidelines

Inclusion Criteria

Use V25.3 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to capture the full context of the injury, including the location, activity, and circumstances leading to the event

Exclusion Criteria

Do NOT use V25.3 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

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

Documentation Requirements

Documentation must include the mechanism of injury and a detailed assessment of injuries.

Specialty Considerations

Emergency medicine specialists should 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, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data collection and analysis for public health initiatives aimed at reducing motorcycle-related 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

When should V25.3 be used?

V25.3 should be used when a patient is injured while boarding or alighting from a motorcycle in a collision with a railway train or vehicle. Accurate documentation of the incident is essential.