MCMedicalCodingSoftware
V64.4XXS

V64.4XXSPerson boarding or alighting a heavy transport vehicle injured in collision with heavy transport vehicle or bus while boarding or alighting, sequela

Billable / specific codeICD-10-CMPOA exempt

V64.4XXS is a billable, specific ICD-10-CM code for person boarding or alighting a heavy transport vehicle injured in collision with heavy transport vehicle or bus while boarding or alighting, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category V64

A
initial encounter
D
subsequent encounter
S
sequela

Excludes1 inherited from the categories above V64.4XXS

These are not written on V64.4XXS, but they bind it: a note on a category applies to every code beneath it. Billing V64.4XXS with anything listed here is a denial.

Written on V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus

  • occupant of heavy transport vehicle injured in collision with military vehicle (V69.81)

Risk adjustment

V64.4XXS 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 history

V64.4XXS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share V64.4. If V64.4XXS is not quite right, the correct code is usually one of these.

Questions about V64.4XXS

Is V64.4XXS a billable ICD-10-CM code?
Yes. V64.4XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does V64.4XXS sit in the tabular list?
External causes of morbidity (V00-Y99), in the block Occupant of heavy transport vehicle injured in transport accident (V60-V69).
What cannot be coded together with V64.4XXS?
V64.4XXS 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 V64.4XXS (V64) and apply to it just the same.
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.