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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 encounterV09.21Pedestrian injured in traffic accident involving military vehicle
Billing statusBillableNon-billable header
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionPedestrian 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 characterThe appropriate 7th character is to be added to each code from category V04The 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