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v1.0.0
ICD-10 Guide
ICD-10 CodesV55.0

V55.0

Billable

Driver of pick-up truck or van injured in collision with railway train or railway vehicle in nontraffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V55.0 is a billable code used to indicate a diagnosis of driver of pick-up truck or van injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V55.0 is used to classify injuries sustained by the driver of a pick-up truck or van involved in a collision with a railway train or railway vehicle, specifically in a nontraffic accident context. This code is particularly relevant in scenarios where the collision occurs outside of traditional roadways, such as at railway crossings or in areas where vehicles and trains may interact without standard traffic regulations. Clinical documentation should detail the circumstances of the accident, including the location, type of vehicle involved, and the nature of the injuries sustained. Accurate coding is essential for tracking injury patterns, understanding risk factors, and facilitating appropriate public health responses. This code is critical for trauma registries and can influence resource allocation for emergency services and trauma care.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact nature of the accident (nontraffic vs. traffic)
  • Differentiating between types of vehicles involved
  • Understanding the context of the collision (e.g., location, circumstances)
  • Accurate documentation of injuries sustained

Audit Risk Factors

  • Inadequate documentation of the accident circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to specify the type of vehicle involved
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, mechanism of injury, and initial assessment findings.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a train, including lacerations, fractures, or internal injuries.

Billing Considerations

Ensure that the mechanism of injury is clearly documented to support the use of V55.0.

Trauma Surgery

Documentation Requirements

Operative reports and trauma assessments must detail the injuries sustained and the circumstances of the collision.

Common Clinical Scenarios

Trauma cases involving significant injuries from train collisions, requiring surgical intervention.

Billing Considerations

Accurate coding is crucial for trauma registries and may impact quality metrics.

Coding Guidelines

Inclusion Criteria

Use V55.0 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the corresponding injury codes
  • It is essential to document the circumstances of the injury thoroughly, including the location and type of vehicle involved

Exclusion Criteria

Do NOT use V55.0 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 after a collision with a train.

Documentation Requirements

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

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the visit level.

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, improving data accuracy and facilitating better tracking of injury patterns related to railway accidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns related to railway accidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns related to railway accidents.

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 V55.0?

Documentation should include the specifics of the accident, such as the type of vehicle involved, the circumstances leading to the collision, and a detailed account of the injuries sustained.