V15.5 — Pedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident
V15.5 is a non-billable header ICD-10-CM code for pedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category V15
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
V15.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How V15.5 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to V15.5.
- Accident›transport›pedal cyclist›passenger›collision›railway vehicle(traffic)
Code to one of these instead V15.5
3 child codes. Green means billable.
- V15.5XXAPedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V15.5XXDPedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V15.5XXSPedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, sequela
Related codes at this level
Codes that share V15. If V15.5 is not quite right, the correct code is usually one of these.
- V15.0Pedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident
- V15.1Pedal cycle passenger injured in collision with railway train or railway vehicle in nontraffic accident
- V15.2Unspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident
- V15.3Person boarding or alighting a pedal cycle injured in collision with railway train or railway vehicle
- V15.4Pedal cycle driver injured in collision with railway train or railway vehicle in traffic accident
- V15.9Unspecified pedal cyclist injured in collision with railway train or railway vehicle in traffic accident
Questions about V15.5
- Is V15.5 a billable ICD-10-CM code?
- No. V15.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V15.5 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Pedal cycle rider injured in transport accident (V10-V19).