V54.4 — Person boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus
V54.4 is a non-billable header ICD-10-CM code for person boarding or alighting a 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 inherited from the categories above V54.4
These are not written on V54.4, but they bind it: a note on a category applies to every code beneath it. Billing V54.4 with anything listed here is a denial.
Risk adjustment
V54.4 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 V54.4 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 V54.4.
- Accident›transport›pickup truck occupant›collision›bus›while boarding or alighting
- Accident›transport›pickup truck occupant›collision›truck›while boarding or alighting
- Accident›transport›van occupant›collision›bus›while boarding or alighting
- Accident›transport›van occupant›collision›truck›while boarding or alighting
Code history
V54.4 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Code to one of these instead V54.4
3 child codes. Green means billable.
- V54.4XXAPerson boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus, initial encounter
- V54.4XXDPerson boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus, subsequent encounter
- V54.4XXSPerson boarding or alighting a pick-up truck or van injured in collision with heavy transport vehicle or bus, sequela
Related codes at this level
Codes that share V54. If V54.4 is not quite right, the correct code is usually one of these.
- 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
- V54.5Driver 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 V54.4
- Is V54.4 a billable ICD-10-CM code?
- No. V54.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V54.4 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 V54.4?
- V54.4 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above V54.4 (V54) and apply to it just the same.