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ICD-10 Guide
ICD-10 CodesV25.99

V25.99

Billable

Unspecified rider of other motorcycle 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 V25.99 is a billable code used to indicate a diagnosis of unspecified rider of other motorcycle injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The code V25.99 is used to classify injuries sustained by riders of motorcycles involved in collisions with railway trains or railway vehicles during traffic accidents. This code is particularly relevant in cases where the specifics of the motorcycle type are not documented, or the details of the collision are unclear. Such incidents can lead to severe injuries or fatalities, necessitating comprehensive documentation for accurate coding. The rider's injuries may range from minor abrasions to life-threatening trauma, including head injuries, fractures, and internal injuries. Accurate coding is essential for tracking morbidity and mortality associated with these types of accidents, which can inform public health initiatives and safety regulations. In clinical practice, this code is often utilized in emergency departments and trauma centers where immediate care is provided to injured riders, and it is crucial for ensuring that the circumstances of the accident are well-documented to support appropriate treatment and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the type of motorcycle involved.
  • Variability in injury severity and types, requiring detailed clinical descriptions.
  • Potential overlap with other external cause codes for motorcycle accidents.
  • Need for precise linkage between the injury and the external cause of the accident.

Audit Risk Factors

  • Inadequate documentation of the motorcycle type or rider details.
  • Failure to specify the circumstances of the collision.
  • Misclassification of the accident type leading to incorrect coding.
  • Lack of clarity in injury descriptions that do not align with the external cause.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency departments must document the mechanism of injury, type of motorcycle, and specific injuries sustained. Detailed narratives of the accident scene can enhance coding accuracy.

Common Clinical Scenarios

Riders presenting with traumatic brain injuries, fractures, or lacerations following a collision with a train.

Billing Considerations

Consideration of the rider's helmet use and protective gear, which may influence injury severity.

Trauma Surgery

Documentation Requirements

Trauma surgeons should document the extent of injuries, surgical interventions performed, and any complications arising from the accident.

Common Clinical Scenarios

Cases involving multiple trauma from high-impact collisions requiring surgical intervention.

Billing Considerations

Accurate coding is critical for trauma registries and quality improvement initiatives.

Coding Guidelines

Inclusion Criteria

Use V25.99 When
  • According to ICD
  • CM guidelines, external cause codes should be used in conjunction with injury codes to provide a complete picture of the circumstances surrounding the injury
  • It is essential to report the external cause code in the secondary position after the injury code

Exclusion Criteria

Do NOT use V25.99 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for emergency visits related to motorcycle accidents.

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 the visit details align with the coding guidelines.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including motorcycle accidents. This specificity aids in better tracking of injury patterns and informs public health initiatives aimed at reducing motorcycle-related injuries.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including motorcycle accidents. This specificity aids in better tracking of injury patterns and informs public health initiatives aimed at reducing motorcycle-related injuries.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes of injuries, including motorcycle accidents. This specificity aids in better tracking of injury patterns and informs public health initiatives aimed at reducing motorcycle-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 I document to support the use of V25.99?

Document the specifics of the accident, including the type of motorcycle, the circumstances of the collision, and the injuries sustained. Clear narratives help substantiate the coding.