V04.91XA vs V09.21
V04.91XA (Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter) 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. V04.91XA 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
| V04.91XAPedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter | V09.21Pedestrian injured in traffic accident involving military vehicle | |
|---|---|---|
| Billing status | Billable | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V04.91A). | 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