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V04

V04Pedestrian injured in collision with heavy transport vehicle or bus

Non-billable headerICD-10-CM

V04 is a non-billable header ICD-10-CM code for pedestrian injured in collision with heavy transport vehicle or bus. 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 V04

A
initial encounter
D
subsequent encounter
S
sequela

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

  • pedestrian injured in collision with military vehicle (V09.01, V09.21)

Risk adjustment

V04 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.

Code to one of these instead V04

3 child codes. Green means billable.

Questions about V04

Is V04 a billable ICD-10-CM code?
No. V04 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V04 sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Pedestrian injured in transport accident (V00-V09).
What cannot be coded together with V04?
V04 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.