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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.4

V25.4

Billable

Motorcycle driver injured in collision with railway train or railway vehicle in traffic accident

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

Code Description

ICD-10 V25.4 is a billable code used to indicate a diagnosis of motorcycle driver injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V25.4 is used to classify injuries sustained by motorcycle drivers involved in collisions with railway trains or railway vehicles during traffic accidents. This code is crucial for capturing the external cause of morbidity and mortality associated with such incidents, which can lead to severe injuries or fatalities. Motorcycle drivers are particularly vulnerable due to the lack of protective barriers compared to other vehicles. In clinical practice, accurate coding of these incidents is essential for public health data analysis, resource allocation, and injury prevention strategies. Documentation should include details about the circumstances of the accident, the type of injuries sustained, and any contributing factors such as weather conditions or road conditions. This code is part of a broader effort to understand and mitigate the risks associated with motorcycle use in proximity to railway systems.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Potential for multiple external cause codes to be applicable
  • Variability in injury severity and types
  • Differentiation between motorcycle and other vehicle types

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Failure to capture all relevant external cause codes
  • Misclassification of the type of vehicle involved
  • Inconsistent reporting of injury severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes must clearly document the mechanism of injury, including details of the collision and any immediate interventions.

Common Clinical Scenarios

Patients presenting with traumatic injuries following a motorcycle-railway vehicle collision, including fractures, head injuries, and soft tissue injuries.

Billing Considerations

Consideration of pre-existing conditions that may affect recovery and the need for comprehensive injury assessment.

Trauma Surgery

Documentation Requirements

Trauma registries require detailed documentation of injury patterns, surgical interventions, and outcomes.

Common Clinical Scenarios

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

Billing Considerations

Accurate coding of associated injuries and potential complications is critical for quality metrics and outcome tracking.

Coding Guidelines

Inclusion Criteria

Use V25.4 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, following the primary diagnosis code for the injury

Exclusion Criteria

Do NOT use V25.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a motorcycle driver presents to the emergency department with severe injuries from a collision.

Documentation Requirements

Detailed documentation of the patient's condition, treatment provided, and any consultations.

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 accuracy and enhancing public health surveillance efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, improving data accuracy and enhancing public health surveillance 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 V25.4?

Documentation should include the specifics of the collision, the type of railway vehicle involved, the circumstances leading to the accident, and a detailed account of the injuries sustained.