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v1.0.0
ICD-10 Guide
ICD-10 CodesV25.91

V25.91

Billable

Unspecified electric (assisted) bicycle rider 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 V25.91 is a billable code used to indicate a diagnosis of unspecified electric (assisted) bicycle rider injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The V25.91 code is utilized to classify injuries sustained by riders of electric (assisted) bicycles involved in collisions with railway trains or railway vehicles during traffic accidents. This code is essential for capturing the external causes of morbidity and mortality related to traffic incidents, particularly as the popularity of electric bicycles increases. Riders may experience a range of injuries, from minor abrasions to severe trauma, depending on the speed and nature of the collision. Accurate coding is crucial for public health data collection, injury prevention strategies, and resource allocation in emergency services. Documentation should include details about the circumstances of the accident, the type of electric bicycle involved, and the nature of the injuries sustained to ensure precise coding and facilitate appropriate care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in documentation quality regarding the specifics of the accident.
  • Differentiating between types of bicycles and their classifications.
  • Potential for multiple injuries requiring additional codes.
  • Need for precise details about the collision circumstances.

Audit Risk Factors

  • Inadequate documentation of the accident circumstances.
  • Misclassification of the type of bicycle involved.
  • Failure to capture all injuries sustained in the collision.
  • Inconsistent use of external cause codes across different providers.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of electric bicycle, and any pre-existing conditions that may affect treatment.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a train, including fractures, lacerations, and head injuries.

Billing Considerations

Consideration of the patient's history and the specifics of the accident is crucial for accurate coding.

Trauma Surgery

Documentation Requirements

Detailed trauma assessments, including injury severity scores and descriptions of the mechanism of injury.

Common Clinical Scenarios

Trauma cases involving multiple injuries from a collision, requiring surgical intervention.

Billing Considerations

Accurate coding is essential for tracking injury patterns and outcomes in trauma registries.

Coding Guidelines

Inclusion Criteria

Use V25.91 When
  • According to ICD
  • 10 coding 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 V25.91 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 injuries from a collision.

Documentation Requirements

Document the nature of the injuries, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine providers 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 injuries related to electric bicycles, improving data accuracy for public health and injury prevention efforts.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of injuries related to electric bicycles, improving data accuracy for public health and injury prevention 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 use V25.91 accurately?

Documentation should include the type of electric bicycle, details of the collision, the injuries sustained, and any relevant patient history to support the coding.