V04 vs V09.21
V04 (Pedestrian injured in collision with heavy transport vehicle or bus) compared with V09.21 (Pedestrian injured in traffic accident involving military vehicle), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. V04 carries an Excludes1 note covering V09.21: “pedestrian injured in collision with military vehicle (V09.01, V09.21)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| V04Pedestrian injured in collision with heavy transport vehicle or bus | V09.21Pedestrian injured in traffic accident involving military vehicle | |
|---|---|---|
| Billing status | Non-billable header Report instead: V04.00XA, V04.00XD, V04.00XS, V04.01XA, V04.01XD | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Pedestrian injured in collision with heavy transport vehicle or bus is a non-billable ICD-10-CM category code (V04). | Pedestrian injured in traffic accident involving military vehicle is a non-billable ICD-10-CM category code (V09.21). |
| 7th character | The appropriate 7th character is to be added to each code from category V04 | The appropriate 7th character is to be added to each code from category V09 |
| Includes | person changing tire on transport vehicle person examining engine of vehicle broken down in (on side of) road | person changing tire on transport vehicle person examining engine of vehicle broken down in (on side of) road |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources