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ICD-10 Guide
ICD-10 CodesV25.5

V25.5

Billable

Motorcycle passenger 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 V25.5 is a billable code used to indicate a diagnosis of motorcycle passenger injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The V25.5 code is used to classify injuries sustained by a motorcycle passenger involved in a collision with a railway train or railway vehicle during a traffic accident. This code is critical for capturing the external cause of morbidity and mortality associated with such incidents, which often result in severe injuries or fatalities. The context of this code is particularly relevant in urban areas where motorcycle traffic intersects with railway systems. Accurate coding is essential for public health data collection, resource allocation, and understanding the epidemiology of traffic-related injuries. Documentation should include details about the circumstances of the accident, the type of motorcycle involved, and the nature of the injuries sustained. This code helps in identifying trends in motorcycle-related accidents involving trains, which can inform safety measures and policy changes aimed at reducing such incidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in reporting standards across different healthcare settings

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, patient demographics, and initial assessment findings.

Common Clinical Scenarios

Patients arriving post-collision with varying degrees of trauma, including head injuries, fractures, and lacerations.

Billing Considerations

Consideration of pre-existing conditions that may complicate the injury assessment.

Trauma Surgery

Documentation Requirements

Detailed operative reports and injury severity scores are essential for trauma cases.

Common Clinical Scenarios

Surgical interventions for severe injuries such as pelvic fractures or traumatic brain injuries.

Billing Considerations

Accurate coding of all injuries sustained during the incident is crucial for treatment planning and outcomes assessment.

Coding Guidelines

Inclusion Criteria

Use V25.5 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is important to report the external cause code in the secondary position to the primary diagnosis code that reflects the injury sustained

Exclusion Criteria

Do NOT use V25.5 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a motorcycle passenger presents to the emergency department after a collision.

Documentation Requirements

Documentation must include the patient's condition, treatment provided, and any referrals.

Specialty Considerations

Emergency medicine specialists should ensure that all injuries are documented for accurate coding.

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 motorcycle accidents involving trains. This specificity aids in better tracking and analysis of injury patterns.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including motorcycle accidents involving trains. This specificity aids in better tracking and analysis of injury patterns.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including motorcycle accidents involving trains. This specificity aids in better tracking and analysis 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 should be documented to support the use of V25.5?

Documentation should include the details of the accident, the role of the patient as a motorcycle passenger, the type of railway vehicle involved, and a comprehensive account of the injuries sustained.