{"code":"V65.4XXD","type":"code","title":"Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, subsequent encounter","codeAlso":[],"includes":["18 wheeler","armored car","panel truck"],"modern_v":"official26","codeFirst":[],"excludes1":["bus","motorcoach"],"excludes2":[],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"sibling_codes":["V65","V65.0","V65.0A","V65.0D","V65.0S","V65.1","V65.1A","V65.1D","V65.1S","V65.2","V65.2A","V65.2D","V65.2S","V65.3","V65.3A","V65.3D","V65.3S","V65.4","V65.4A","V65.4S","V65.5","V65.5A","V65.5D","V65.5S","V65.6","V65.6A","V65.6D","V65.6S","V65.7","V65.7A","V65.7D","V65.7S","V65.9","V65.9A","V65.9D","V65.9S"],"inclusionTerms":[],"sibling_titles":{"code":"V65.9S","title":"Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, subsequent encounter is a billable ICD-10-CM diagnosis code (V65.4D). Includes: 18 wheeler; armored car; panel truck. Excludes1 (not coded here): bus; motorcoach. 7th character: The appropriate 7th character is to be added to each code from category V65.","officialDefinition":"Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, subsequent encounter is a billable ICD-10-CM diagnosis code (V65.4D). Includes: 18 wheeler; armored car; panel truck. Excludes1 (not coded here): bus; motorcoach. 7th character: The appropriate 7th character is to be added to each code from category V65.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category V65"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}