V55.4 — Person boarding or alighting a pick-up truck or van injured in collision with railway train or railway vehicle
V55.4 is a non-billable header ICD-10-CM code for person boarding or alighting a pick-up truck or van injured in collision with railway train or railway vehicle. 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 V55
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
V55.4 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 V55.4 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 V55.4.
- Accident›transport›pickup truck occupant›collision›railway vehicle›while boarding or alighting
- Accident›transport›van occupant›collision›railway vehicle›while boarding or alighting
Code to one of these instead V55.4
3 child codes. Green means billable.
- V55.4XXAPerson boarding or alighting a pick-up truck or van injured in collision with railway train or railway vehicle, initial encounter
- V55.4XXDPerson boarding or alighting a pick-up truck or van injured in collision with railway train or railway vehicle, subsequent encounter
- V55.4XXSPerson boarding or alighting a pick-up truck or van injured in collision with railway train or railway vehicle, sequela
Related codes at this level
Codes that share V55. If V55.4 is not quite right, the correct code is usually one of these.
- V55.0Driver of pick-up truck or van injured in collision with railway train or railway vehicle in nontraffic accident
- V55.1Passenger in pick-up truck or van injured in collision with railway train or railway vehicle in nontraffic accident
- V55.2Person on outside of pick-up truck or van injured in collision with railway train or railway vehicle in nontraffic accident
- V55.3Unspecified occupant of pick-up truck or van injured in collision with railway train or railway vehicle in nontraffic accident
- V55.5Driver of pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident
- V55.6Passenger in pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident
- V55.7Person on outside of pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident
- V55.9Unspecified occupant of pick-up truck or van injured in collision with railway train or railway vehicle in traffic accident
Questions about V55.4
- Is V55.4 a billable ICD-10-CM code?
- No. V55.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V55.4 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).