V05.90XD vs V05.90XS
V05.90XD (Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter) compared with V05.90XS (Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, sequela), from the official CMS tabular data.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Summary
No tabular note links these codes. Both belong to category V05, and nothing in the tabular list prevents reporting each when it is documented.
Registry fact- What is different?
Title wording.The titles share “Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident”; V05.90XD says “subsequent encounter” where V05.90XS says “sequela”.
Registry fact
- Can these codes be reported together?
No instruction prevents it.No note in either entry names the other. Both belong to category V05; each may be reported when its own documentation is present.
Registry fact
- Is there an Excludes1 relationship?
None.Neither entry carries an Excludes1 note that names the other code. V05.90XD carries 3 Excludes1 notes and V05.90XS carries 3 Excludes1 notes covering other codes; the side-by-side table quotes them.
Official rule
- Is there an Excludes2 relationship?
None.Neither entry carries an Excludes2 note that names the other code.
Official rule
- Is one more specific?
No.Both titles are unspecified forms within category V05, and neither is a subdivision of the other.
Registry fact
- Is one a parent or header code?
No.Both are billable codes, and neither contains the other.
Registry fact
- Are there sequencing instructions?
None.Neither entry carries a Code First or Use Additional Code note that names the other.
Official rule
- Are there other coding relationships?
None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.
MedCoder-derived
Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels
Can these codes be reported together?
Yes, when each is documented. V05.90XD and V05.90XS both belong to category V05.
No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. The code titles state what each one covers, and the documentation decides which applies.
Side by side
Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.
Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, subsequent encounter
Pedestrian on foot injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident, sequela
- fall due to non-transport collision with other person (W03)
- pedestrian on foot falling (slipping) on ice and snow (W00.-)
- struck or bumped by another person (W51)
V05 Pedestrian injured in collision with railway train or railway vehicle
V00-Y99 — External Causes of Morbidity (V00-Y99)
- person changing tire on transport vehicle
- person examining engine of vehicle broken down in (on side of) road
- Pedestrian NOS injured in collision with railway train or railway vehicle, unspecified whether traffic or nontraffic accident
- The appropriate 7th character is to be added to each code from category V05
No Excludes2, Code first, Use additional code and Code also note at either code.
Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, notes every code shares are dimmed.
Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources