V04
V04 — Pedestrian 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
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.
- V04.0Pedestrian injured in collision with heavy transport vehicle or bus in nontraffic accident
- V04.1Pedestrian injured in collision with heavy transport vehicle or bus in traffic accident
- V04.9Pedestrian injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
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.