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V04.138S ICD-10-CM Code: Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident, sequela

Compare with another codeCheck this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

7th character
Required — see the character table on this page
Tabular directives
4 inclusion terms · 4 Excludes1

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too; the Instructions section marks which is which.

Excludes1Never report with this code
  • pedestrian injured in collision with military vehicle (V09.01, V09.21)
  • 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)
IncludesWhat this code covers
  • person changing tire on transport vehicle
  • person examining engine of vehicle broken down in (on side of) road
  • Pedestrian on hoverboard injured in collision with heavy transport vehicle or bus in traffic accident
  • Pedestrian on segway injured in collision with heavy transport vehicle or bus in traffic accident

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for V04.138S in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on V04.138S itself; “inherited from” names the category or block whose note applies here.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

  • person changing tire on transport vehicle
  • person examining engine of vehicle broken down in (on side of) road

Source: inherited from V00-V09

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Pedestrian on hoverboard injured in collision with heavy transport vehicle or bus in traffic accident
  • Pedestrian on segway injured in collision with heavy transport vehicle or bus in traffic accident

Source: inherited from V04.138

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

7th Character Guide

"The appropriate 7th character is to be added to each code from category V04"

  • A — initial encounter
  • D — subsequent encounter
  • S — sequela (this page’s code)

How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.

ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).

Variant codes in this family

V04.138A, V04.138D, V04.138S

Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.

Coder workflow for V04.138S

MedCoder structured workflow — derived from this code’s own official record

Before you code V04.138S

  1. A 7th character is required in this family. Confirm the documented encounter: initial (active treatment), subsequent (healing or recovery phase), or sequela. This page’s code carries “S”. “Initial” means active treatment, not the first visit (Guidelines I.C.19.a).

    See the 7th Character Guide · Guide: 7th characters: initial, subsequent, sequela →

  2. V04.138S’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  3. An external cause code is reported in addition to the code for the injury or condition, never as the principal or first-listed diagnosis. Confirm the cause, intent, place of occurrence, activity and status where the record documents them, and assign the 7th character that matches the injury code. External cause coding guidelines (Guidelines I.C.20.a).

  4. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with V04.138S. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in V04.138S’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewV09.01, V09.21, W03, W00, W51

  2. Is the encounter phase documented — active treatment, healing or recovery, or a sequela?
    Yes → Assign the matching 7th character; the variant codes are in the 7th Character Guide.
    No → The code is invalid without its 7th character — query for the missing element.

Consider V04.138S. Then confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
Encounter type
Active treatment, healing or recovery phase, or sequela — the basis of the 7th character (Guidelines I.C.19.a).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).

Official instructions as workflow

  • Excludes1 — check before selecting V04.138S(4 notes)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with V04.138S: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareV09.01, V09.21, W03, W00, W51

    See the official tabular notes · Guidelines I.A.12.a

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition V04.138S describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewV09.01, V09.21, W03, W00, W51

Documentation: The patient returns during the healing or recovery phase after active treatment of the same condition.

Coding question: Which 7th character applies?

Path: Review the official 7th-character definitions for this family in the 7th Character Guide.

Reason: “Initial encounter” means active treatment, not the first visit; care during recovery takes “subsequent encounter”, and a complication arising from the original condition takes “sequela” (Guidelines I.C.19.a).

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is V04.138S supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse V04.138S with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of V04.138S — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • V09.01— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of pedestrian injured in collision with military vehicle moves the case to V09.01; the two are not reported together unless documented as unrelated.

    Full comparison: V04.138S vs V09.01 →

  • V09.21— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of pedestrian injured in collision with military vehicle moves the case to V09.21; the two are not reported together unless documented as unrelated.

    Full comparison: V04.138S vs V09.21 →

  • W03— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of fall due to non-transport collision with other person moves the case to W03; the two are not reported together unless documented as unrelated.

    Full comparison: V04.138S vs W03 →

  • W00— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of pedestrian on foot falling (slipping) on ice and snow moves the case to W00; the two are not reported together unless documented as unrelated.

    Full comparison: V04.138S vs W00 →

  • W51— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of struck or bumped by another person moves the case to W51; the two are not reported together unless documented as unrelated.

    Full comparison: V04.138S vs W51 →

  • V04.138A— Encounter relationship (Review)

    Same underlying diagnosis, different encounter phase.

    The same diagnosis at a different phase of care; one encounter takes one 7th character.

    What moves you there: Documentation of a initial encounter moves the case to V04.138A.

    Full comparison: V04.138S vs V04.138A →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident, sequela is a billable ICD-10-CM diagnosis code (V04.138S).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Verify Before Coding

  • Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name V04.138S or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 14 Excludes1 notes: V00 — Pedestrian conveyance accident (via V04.-), V00.118 — Other in-line roller-skate accident (via V04.-), V00.128 — Other non-in-line roller-skating accident (via V04.-), V00.138 — Other skateboard accident (via V04.-), V00.148 — Other scooter (nonmotorized) accident (via V04.-), V00.218 — Other ice-skates accident (via V04.-), V00.228 — Other sled accident (via V04.-), V00.288 — Other accident on other gliding-type pedestrian conveyance (via V04.-), V00.318 — Other snowboard accident (via V04.-), V00.328 — Other snow-ski accident (via V04.-), V00.898 — Other accident on other pedestrian conveyance (via V04.-), V87 — Traffic accident of specified type but victim's mode of transport unknown (via V04.-), V88 — Nontraffic accident of specified type but victim's mode of transport unknown (via V04.-), W03 — Other fall on same level due to collision with another person (via V04.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Clinical classification (AHRQ CCSR):EXT030 — External cause codes: sequela.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (External cause codes: sequela).

+2321 more

Contextual Map

Every relationship of V04.138S in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run V04.138S with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes (14)

  • V00 — Pedestrian conveyance accident[Excludes1](via V04.-): “pedestrian (conveyance) collision with other land transport vehicle (V01-V09)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • V00.118 — Other in-line roller-skate accident[Excludes1](via V04.-): “roller-skater collision with other land transport vehicle (V01-V09 with 5th character 1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • V00.128 — Other non-in-line roller-skating accident[Excludes1](via V04.-): “roller-skater collision with other land transport vehicle (V01-V09 with 5th character 1)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • V00.138 — Other skateboard accident[Excludes1](via V04.-): “skateboarder collision with other land transport vehicle (V01-V09 with 5th character 2)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • V00.148 — Other scooter (nonmotorized) accident[Excludes1](via V04.-): “scooter (nonmotorized) collision with other land transport vehicle (V01-V09 with fifth character 9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • V00.218 — Other ice-skates accident[Excludes1](via V04.-): “ice-skater collision with other land transport vehicle (V01-V09 with 5th character 9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • V00.228 — Other sled accident[Excludes1](via V04.-): “sled collision with other land transport vehicle (V01-V09 with 5th character 9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • V00.288 — Other accident on other gliding-type pedestrian conveyance[Excludes1](via V04.-): “gliding-type pedestrian conveyance collision with other land transport vehicle (V01-V09 with 5th character 9)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027
  • and 6 more

Clinical classification (CCSR)

External cause index

  • Accident (to), transport (involving injury to), pedestrian, conveyance (occupant), hoverboard, collision with, bus or heavy transport, traffic[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2027
  • Accident (to), transport (involving injury to), pedestrian, conveyance (occupant), Segway, collision with, bus or heavy transport, traffic[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2027
  • Accident (to), transport (involving injury to), pedestrian, conveyance (occupant), standing, micro-mobility pedestrian conveyance, collision with, bus or heavy transport, traffic[External cause term]— CMS External Cause of Injuries Index · icd10cm-fy2027

Nearest codes (40)

Change history

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed As (3)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Circumstance phrases from the official ICD-10-CM External Cause of Injuries Index that map to this code.

  • Accident (to), transport (involving injury to), pedestrian, conveyance (occupant), hoverboard, collision with, bus or heavy transport, traffic
  • Accident (to), transport (involving injury to), pedestrian, conveyance (occupant), Segway, collision with, bus or heavy transport, traffic
  • Accident (to), transport (involving injury to), pedestrian, conveyance (occupant), standing, micro-mobility pedestrian conveyance, collision with, bus or heavy transport, traffic

Common coding questions

MedCoder editorial

Does V04.138S require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category V04.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

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

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "V04.138S — Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident, sequela." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/v04.138s-pedestrian-on-other-standing-micro-mobility-pedestrian-conveyance-injured-in-collision-with-heavy-transport-vehicle-or-bus-in-traffic

Change history

  • FY2021 — October 1, 2020
    Added to the code set
    Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident, sequela
    FY2021 changes

Nearest Codes in This Family

Official ICD-10-CM classifications closest to V04.138S in its code family, with their registry titles.

View all codes in the V04 family