V46 vs V79
V46 (Car occupant injured in collision with other nonmotor vehicle) compared with V79 (Bus occupant injured in other and unspecified transport accidents), 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. V46 carries an Excludes1 note covering V79: “motorcoach (V70-V79)”
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
| V46Car occupant injured in collision with other nonmotor vehicle | V79Bus occupant injured in other and unspecified transport accidents | |
|---|---|---|
| Billing status | Non-billable header Report instead: V46.0XXA, V46.0XXD, V46.0XXS, V46.1XXA, V46.1XXD | Non-billable header Report instead: V79.00XA, V79.00XD, V79.00XS, V79.09XA, V79.09XD |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Car occupant injured in collision with other nonmotor vehicle is a non-billable ICD-10-CM category code (V46). | Bus occupant injured in other and unspecified transport accidents is a non-billable ICD-10-CM category code (V79). |
| 7th character | The appropriate 7th character is to be added to each code from category V46 | The appropriate 7th character is to be added to each code from category V79 |
| Includes | collision with animal-drawn vehicle, animal being ridden, streetcar a four-wheeled motor vehicle designed primarily for carrying passengers automobile (pulling a trailer or camper) | motorcoach |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources