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V61.4XXD vs V61.4XXS

V61.4XXD (Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, subsequent encounter) compared with V61.4XXS (Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, sequela), from the official CMS tabular data.

Summary

No tabular note links these codes. Both belong to category V61, and nothing in the tabular list prevents reporting each when it is documented.

Registry fact
What is different?

Title wording.The titles share “Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting”; V61.4XXD says “subsequent encounter” where V61.4XXS 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 V61; 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. V61.4XXD carries 2 Excludes1 notes and V61.4XXS carries 2 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.Neither is a subdivision of the other, and neither title is the unspecified form; they describe different conditions within category V61.

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. V61.4XXD and V61.4XXS both belong to category V61.

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

V61.4XXDPerson boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, subsequent encounterV61.4XXSPerson boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, sequela
Billing statusBillableBillable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionPerson boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, subsequent encounter is a billable ICD-10-CM diagnosis code (V61.4XXD).Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, sequela is a billable ICD-10-CM diagnosis code (V61.4XXS).
7th characterThe appropriate 7th character is to be added to each code from category V61The appropriate 7th character is to be added to each code from category V61
Includes
18 wheeler
armored car
panel truck
18 wheeler
armored car
panel truck
Excludes1
bus
motorcoach
bus
motorcoach

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.

Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources