2025 ICD-10-CM code V65.2
(Active) Effective Date: N/A External causes of morbidity - Collision with railway train or railway vehicle 20 Feed
Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident.
The use of 7th character extensions is required to indicate the encounter type:A (initial encounter), D (subsequent encounter), or S (sequela).
The medical necessity for treatment will be determined by the nature of the injuries sustained in the accident.
The clinical responsibility for documenting and coding this injury would typically fall to the physician providing initial treatment in the emergency room or other setting. Accurate documentation of the circumstances of the accident, including location (nontraffic) and the involvement of a heavy transport vehicle and railway train/vehicle is crucial for proper coding.Additional documentation of the specific injuries sustained should be included.
In simple words: This code indicates that someone was hurt while riding on the outside of a large truck (like an 18-wheeler) when the truck hit a train somewhere other than a public road.
Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident. This code describes an injury sustained by an individual traveling on the exterior of a heavy transport vehicle when it collided with a railway train or vehicle in a non-traffic accident.A heavy transport vehicle includes an 18-wheeler, armored car, or panel truck, but excludes buses and motor coaches. A non-traffic accident is one that occurs entirely off a public highway.
Example 1: A worker riding on the running board of a panel truck within a factory complex is injured when the truck collides with a train shunting cars on a private railway within the factory., An individual clinging to the back of an armored car during a security operation on private property is injured when the truck collides with a train at a private crossing., A mechanic working on the exterior of an 18-wheeler parked at a truck stop, but not on a public highway, is injured when a train derails and strikes the truck.
Documentation should clearly state that the accident was a collision between a heavy transport vehicle (specify type if known) and a railway train or railway vehicle, and it must have occurred in a nontraffic location (i.e., entirely off a public highway). Details about the individual's location on the outside of the vehicle should be noted. Specific injuries sustained must also be clearly documented.
** This code excludes transport accidents due to cataclysm (X34-X38).
- Specialties:Emergency Medicine, Trauma Surgery, Orthopedics (depending on the nature of injuries)
- Place of Service:Other Place of Service, Industrial or Commercial establishments, possibly a Military Treatment Facility, depending on the scenario