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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.51

V25.51

Billable

Electric (assisted) bicycle 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 V25.51 is a billable code used to indicate a diagnosis of electric (assisted) bicycle passenger injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The V25.51 code is used to classify injuries sustained by passengers on electric (assisted) bicycles involved in collisions with railway trains or railway vehicles during traffic accidents. This code is crucial for capturing the external causes of morbidity and mortality related to such incidents. It is particularly relevant in urban settings where electric bicycles are increasingly popular, and interactions with railway systems are common. Accurate coding of these incidents helps in understanding the epidemiology of injuries related to electric bicycles, guiding public health interventions, and improving safety regulations. Documentation should include details about the circumstances of the accident, the type of electric bicycle involved, and the nature of the injuries sustained. This code is part of a broader effort to track and analyze traffic-related injuries, which can inform policy decisions and enhance safety measures for vulnerable road users.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the incident type (electric bicycle vs. traditional bicycle)
  • Need for accurate documentation of the collision circumstances
  • Potential for multiple external cause codes to be applicable
  • Variability in local traffic laws and regulations affecting coding

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of bicycle involved
  • Failure to capture the passenger status versus operator status
  • Inconsistent coding practices across different facilities

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, type of bicycle, and any relevant witness statements.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while riding as a passenger on an electric bicycle.

Billing Considerations

Ensure that all relevant details about the accident are captured to support the use of V25.51.

Trauma Surgery

Documentation Requirements

Trauma registries should include detailed descriptions of the injury patterns and circumstances surrounding the collision.

Common Clinical Scenarios

Trauma cases involving significant injuries from collisions with railway vehicles.

Billing Considerations

Consider the potential for multiple injuries and the need for comprehensive coding of all related conditions.

Coding Guidelines

Inclusion Criteria

Use V25.51 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause codes are sequenced correctly and that all relevant details are documented
  • Use V25
  • 51 in conjunction with injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V25.51 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

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

Documentation Requirements

Document the nature of the injuries and the circumstances of the accident.

Specialty Considerations

Emergency medicine specialists should ensure that all relevant details are captured 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, including electric bicycle incidents, which were not distinctly captured in ICD-9. This specificity aids in better tracking and analysis of traffic-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, including electric bicycle incidents, which were not distinctly captured in ICD-9. This specificity aids in better tracking and analysis of traffic-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, including electric bicycle incidents, which were not distinctly captured in ICD-9. This specificity aids in better tracking and analysis of traffic-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

What should be documented to support the use of V25.51?

Documentation should include the type of electric bicycle, the circumstances of the collision, the passenger status, and the nature of the injuries sustained.