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ICD-10 Guide
ICD-10 CodesV25.31

V25.31

Billable

Person boarding or alighting an electric (assisted) bicycle injured in collision with railway train or railway vehicle

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

Code Description

ICD-10 V25.31 is a billable code used to indicate a diagnosis of person boarding or alighting an electric (assisted) bicycle injured in collision with railway train or railway vehicle.

Key Diagnostic Point:

The ICD-10 code V25.31 is used to classify injuries sustained by individuals who are boarding or alighting from an electric (assisted) bicycle and are involved in a collision with a railway train or railway vehicle. This code is particularly relevant in urban settings where electric bicycles are increasingly popular for commuting. The injuries can range from minor abrasions to severe trauma, including fractures and head injuries, depending on the speed of the train and the circumstances of the collision. Accurate coding is essential for tracking the incidence of such accidents, which can inform public health initiatives aimed at improving safety for cyclists and pedestrians near railway crossings. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any relevant environmental factors that may have contributed to the incident.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the incident (boarding vs. alighting)
  • Differentiating between types of bicycles (electric vs. non-electric)
  • Identifying the specific railway vehicle involved
  • Documenting the severity of injuries accurately

Audit Risk Factors

  • Inaccurate documentation of the incident type (boarding vs. alighting)
  • Failure to specify the type of bicycle involved
  • Lack of detail regarding the railway vehicle
  • Inconsistent reporting of injury severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including the circumstances of boarding or alighting from the bicycle and the nature of the collision.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while on an electric bicycle, including head injuries, fractures, and lacerations.

Billing Considerations

Consideration of potential underlying conditions that may affect injury severity, such as age or pre-existing health issues.

Trauma Surgery

Documentation Requirements

Trauma assessments must include detailed descriptions of injuries, surgical interventions, and the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving severe injuries from collisions with trains, requiring surgical intervention.

Billing Considerations

Documentation should reflect the urgency of the situation and any immediate life-saving measures taken.

Coding Guidelines

Inclusion Criteria

Use V25.31 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to capture the full context of the incident, including the location and circumstances, to ensure accurate data collection and reporting

Exclusion Criteria

Do NOT use V25.31 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 with a train.

Documentation Requirements

Documentation must support the level of service provided, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details of the incident are captured.

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 electric bicycles. This specificity aids in better tracking and understanding of injury patterns, which can inform public health policies and safety measures.

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 electric bicycles. This specificity aids in better tracking and understanding of injury patterns, which can inform public health policies and safety measures.

Reimbursement & Billing Impact

reimbursement and data collection.

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 code V25.31?

Documentation should include the type of bicycle involved, the circumstances of boarding or alighting, the details of the collision with the railway vehicle, and the nature and severity of injuries sustained.