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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV55

V55

Non-billable

Occupant of pick-up truck or van injured in collision with railway train or railway vehicle

Chapter 20:External causes of morbidity

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 V55 is a used to indicate a diagnosis of occupant of pick-up truck or van injured in collision with railway train or railway vehicle.

Key Diagnostic Point:

The ICD-10 code V55 pertains to individuals who are occupants of a pick-up truck or van and have sustained injuries as a result of a collision with a railway train or railway vehicle. This category encompasses a range of injuries that may occur during such incidents, including but not limited to traumatic brain injuries, fractures, soft tissue injuries, and internal injuries. The clinical significance of this code lies in its ability to accurately capture the nature of injuries sustained in these specific types of vehicular accidents, which can be critical for treatment planning and outcome tracking. Proper coding ensures that healthcare providers can document the circumstances surrounding the injuries, which is essential for both clinical care and statistical analysis of accident-related injuries.

  • Usage guidelines for V55 emphasize the importance of thorough documentation of the incident, including details about the type of vehicle involved, the nature of the collision, and the specific injuries sustained. This code is particularly relevant in trauma centers and emergency departments where patients may present with acute injuries following such collisions. Accurate coding not only aids in patient care but also supports broader public health initiatives aimed at reducing the incidence of such accidents and improving safety measures on roadways and railways.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of the incident
  • Variety of potential injuries
  • Documentation requirements

Audit Risk Factors

  • Inadequate documentation of the incident
  • Misclassification of the type of vehicle
  • Failure to capture all injuries sustained

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Trauma Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the V55 code category is significant, as it helps healthcare providers understand the specific nature of injuries sustained in railway collisions, which can inform treatment protocols and improve patient outcomes. Additionally, accurate coding contributes to the collection of data that can influence public health initiatives aimed at reducing accidents involving railway vehicles. Understanding the demographics and injury patterns associated with these incidents can lead to targeted interventions and policy changes.
From an administrative perspective, the use of V55 can affect quality measures and performance metrics within healthcare organizations. Accurate coding is essential for tracking the effectiveness of trauma care and rehabilitation services, as well as for reporting to regulatory bodies. Furthermore, as healthcare trends evolve towards value-based care, the ability to demonstrate the impact of interventions on patient outcomes related to railway collisions will be increasingly important for healthcare providers.

ICD-9 vs ICD-10

The clinical impact of the V55 code category is significant, as it helps healthcare providers understand the specific nature of injuries sustained in railway collisions, which can inform treatment protocols and improve patient outcomes. Additionally, accurate coding contributes to the collection of data that can influence public health initiatives aimed at reducing accidents involving railway vehicles. Understanding the demographics and injury patterns associated with these incidents can lead to targeted interventions and policy changes. From an administrative perspective, the use of V55 can affect quality measures and performance metrics within healthcare organizations. Accurate coding is essential for tracking the effectiveness of trauma care and rehabilitation services, as well as for reporting to regulatory bodies. Furthermore, as healthcare trends evolve towards value-based care, the ability to demonstrate the impact of interventions on patient outcomes related to railway collisions will be increasingly important for healthcare providers.

Reimbursement & Billing Impact

Reimbursement considerations may vary based on the severity of the injuries and the complexity of the treatment provided. It is essential to follow payer-specific guidelines to maximize reimbursement and minimize the risk of claim denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for V55

Coding & Billing References

  • •
    Official ICD-10 Guidelines for V55

Frequently Asked Questions

What conditions are included in V55?

V55 includes various injuries sustained by occupants of pick-up trucks or vans involved in collisions with railway trains or vehicles, such as fractures, concussions, and internal injuries.

When should I use V55 codes?

Use V55 codes when documenting injuries sustained by occupants of pick-up trucks or vans in collisions with railway trains or vehicles, ensuring that all details of the incident are accurately recorded.

What documentation is required for V55?

Documentation should include details of the collision, the type of vehicle involved, the injuries sustained, and any relevant medical evaluations or treatments provided.