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v1.0.0
ICD-10 Guide
ICD-10 CodesV55.5

V55.5

Billable

Driver of pick-up truck or van 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 V55.5 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 traffic accident.

Key Diagnostic Point:

The ICD-10 code V55.5 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 during a traffic accident. This code is essential for capturing the external cause of morbidity and mortality related to vehicular accidents involving trains, which are often severe due to the mass and speed of trains compared to standard vehicles. Clinical scenarios may include instances where the driver suffers from traumatic injuries such as fractures, lacerations, or concussions as a result of the collision. Accurate coding is crucial for public health data collection, insurance reimbursement, and understanding the epidemiology of such accidents. Documentation should detail the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to ensure proper coding and billing.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation between types of vehicles involved
  • Potential for multiple injuries requiring additional codes
  • Variability in reporting standards across different healthcare settings

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Ensure that all injuries are documented and that the external cause is clearly linked to the injuries for accurate coding.

Trauma Surgery

Documentation Requirements

Operative reports must detail the injuries sustained and the surgical interventions performed.

Common Clinical Scenarios

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

Billing Considerations

Consider the mechanism of injury when coding; ensure that all relevant injuries are captured.

Coding Guidelines

Inclusion Criteria

Use V55.5 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with injury codes to provide a complete picture of the patient's condition
  • The external cause code should be sequenced after the injury code

Exclusion Criteria

Do NOT use V55.5 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 train collision.

Documentation Requirements

Documentation must support the level of service, including history, examination, and medical decision-making.

Specialty Considerations

Emergency medicine specialists should ensure that the external cause is clearly documented.

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, improving data accuracy for public health and epidemiological studies.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data accuracy for public health and epidemiological studies.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more detailed coding of external causes, improving data accuracy for public health and epidemiological studies.

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 V55.5?

Documentation should include details of the accident, the type of vehicle involved, the nature of injuries sustained, and any relevant circumstances surrounding the incident.