ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesV55.9

V55.9

Billable

Unspecified occupant 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 V55.9 is a billable code used to indicate a diagnosis of unspecified occupant of pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

This code is used to classify injuries sustained by occupants of pick-up trucks or vans involved in collisions with railway trains or railway vehicles during traffic accidents. Such incidents can result in severe injuries or fatalities due to the significant mass and speed of trains compared to motor vehicles. The code is essential for tracking the incidence of these specific types of accidents, which can inform public health initiatives and safety regulations. Accurate coding is crucial for understanding the epidemiology of traffic-related injuries and for allocating resources for prevention and intervention strategies. Documentation should include details about the circumstances of the accident, the type of vehicle involved, and the nature of the injuries sustained to ensure proper coding and analysis.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Ambiguity in documentation regarding the specifics of the accident.
  • Variability in injury severity and types, which may require additional codes.
  • Potential overlap with other external cause codes related to vehicle accidents.
  • Need for precise details about the vehicle type and occupant status.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Failure to specify the type of injuries sustained.
  • Misclassification of the vehicle type involved.
  • Inconsistent use of external cause codes across different cases.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, vehicle type, and patient condition upon arrival.

Common Clinical Scenarios

Patients presenting with trauma from a collision with a train, including fractures, lacerations, and internal injuries.

Billing Considerations

Ensure that all relevant details about the accident are captured to support the use of V55.9.

Trauma Surgery

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Accurate coding is critical for trauma registry submissions and quality reporting.

Coding Guidelines

Inclusion Criteria

Use V55.9 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly those related to external causes of morbidity
  • Ensure that the code is used in conjunction with appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V55.9 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 with severe injuries from a train collision.

Documentation Requirements

Document the patient's condition, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists 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 external causes of injuries, including those related to railway collisions. This specificity aids in better tracking and analysis of injury patterns and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to railway collisions. This specificity aids in better tracking and analysis of injury patterns and outcomes.

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

When should I use V55.9?

Use V55.9 when documenting injuries sustained by occupants of pick-up trucks or vans involved in collisions with railway trains or vehicles, ensuring that all relevant details of the accident are captured.