V05.90XA ICD-10-CM Code: Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V05.90XA in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- person changing tire on transport vehicle
- person examining engine of vehicle broken down in (on side of) road
Inclusion Terms
Alternative terms the tabular list files under this code.
- Pedestrian NOS injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- fall due to non-transport collision with other person (W03) Compare V05.90XA vs W03 →
- pedestrian on foot falling (slipping) on ice and snow (W00.-) Compare V05.90XA vs W00 →
- struck or bumped by another person (W51) Compare V05.90XA vs W51 →
Frequently Compared Codes
The official Excludes notes on V05.90XA name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
Verify Before Coding
- Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim.
Relationships & Classification
Clinical classification (AHRQ CCSR):EXT009 — External cause codes: pedestrian; not MVT; initial encounter; EXT020 — External cause codes: intent of injury, accidental/unintentional.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Contextual Map
Every relationship of V05.90XA in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99) [Hierarchy]
- V00-V09 — Pedestrian injured in transport accident [Hierarchy]
Clinical classification (CCSR)
- EXT009 — External cause codes: pedestrian; not MVT; initial encounter [CCSR]
- EXT020 — External cause codes: intent of injury, accidental/unintentional [CCSR]
Nearest codes (40)
- V05 — Pedestrian injured in collision with railway train or railway vehicle [Sibling]
- V05.11XS — Pedestrian on roller-skates injured in collision with railway train or railway vehicle in traffic accident, sequela [Sibling]
- V05.12 — Pedestrian on skateboard injured in collision with railway train or railway vehicle in traffic accident [Sibling]
- V05.12XA — Pedestrian on skateboard injured in collision with railway train or railway vehicle in traffic accident, initial encounter [Sibling]
- V05.12XD — Pedestrian on skateboard injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter [Sibling]
- V05.12XS — Pedestrian on skateboard injured in collision with railway train or railway vehicle in traffic accident, sequela [Sibling]
- V05.13 — Pedestrian on standing micro-mobility pedestrian conveyance injured in collision with railway train or railway vehicle in traffic accident [Sibling]
- V05.131 — Pedestrian on standing electric scooter injured in collision with railway train or railway vehicle in traffic accident [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does V05.90XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V05.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V05.90XA in its code family, with their registry titles.
- V05.19XA — Pedestrian with other conveyance injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V05.19XD — Pedestrian with other conveyance injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V05.19XS — Pedestrian with other conveyance injured in collision with railway train or railway vehicle in traffic accident, sequela
- V05.9 — Pedestrian injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident
- V05.90 — Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident
- V05.90XD — Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter
- V05.90XS — Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, sequela
- V05.91 — Pedestrian on roller-skates injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident
- V05.91XA — Pedestrian on roller-skates injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, initial encounter
- V05.91XD — Pedestrian on roller-skates injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter