V54
V54 — Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus
Non-billable headerICD-10-CM
V54 is a non-billable header ICD-10-CM code for occupant of pick-up truck or van 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 V54
- 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.
- occupant of pick-up truck or van injured in collision with military vehicle (V59.81)
Risk adjustment
V54 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 V54
9 child codes. Green means billable.
- V54.0Driver of pick-up truck or van injured in collision with heavy transport vehicle or bus in nontraffic accident
- V54.1Passenger in pick-up truck or van injured in collision with heavy transport vehicle or bus in nontraffic accident
- V54.2Person on outside of pick-up truck or van injured in collision with heavy transport vehicle or bus in nontraffic accident
- V54.3Unspecified occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus in nontraffic accident
- V54.4Person boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus
- V54.5Driver of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident
- V54.6Passenger in pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident
- V54.7Person on outside of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident
- V54.9Unspecified occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident
Questions about V54
- Is V54 a billable ICD-10-CM code?
- No. V54 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V54 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Occupant of pick-up truck or van injured in transport accident (V50-V59).
- What cannot be coded together with V54?
- V54 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.