V04.91XA ICD-10-CM Code: Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V04.91XA in the official ICD-10-CM tabular list.
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
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).
- pedestrian injured in collision with military vehicle (V09.01, V09.21) Compare V04.91XA vs V09.01 →
- fall due to non-transport collision with other person (W03) Compare V04.91XA vs W03 →
- pedestrian on foot falling (slipping) on ice and snow (W00.-) Compare V04.91XA vs W00 →
- struck or bumped by another person (W51) Compare V04.91XA vs W51 →
Frequently Compared Codes
The official Excludes notes on V04.91XA name these codes. Each comparison page covers when the two can — or must not — be reported together.
Change history
No changes recorded for this code — unchanged since the FY2016 baseline of the change ledger.
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.
Relationships & Classification
Clinical classification (AHRQ CCSR):EXT007 — External cause codes: motor vehicle traffic (MVT); initial encounter; EXT020 — External cause codes: intent of injury, accidental/unintentional.
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 categories (External cause codes: motor vehicle traffic (MVT); initial encounter, External cause codes: intent of injury, accidental/unintentional).
Contextual Map
Every relationship of V04.91XA 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.
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99) [Hierarchy]
- V00-V09 — Pedestrian injured in transport accident [Hierarchy]
Clinical classification (CCSR)
- EXT007 — External cause codes: motor vehicle traffic (MVT); initial encounter [CCSR]
- EXT020 — External cause codes: intent of injury, accidental/unintentional [CCSR]
Nearest codes (40)
- V04 — Pedestrian injured in collision with heavy transport vehicle or bus [Sibling]
- V04.12XD — Pedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter [Sibling]
- V04.12XS — Pedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident, sequela [Sibling]
- V04.13 — Pedestrian on standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident [Sibling]
- V04.131 — Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident [Sibling]
- V04.131A — Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter [Sibling]
- V04.131D — Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter [Sibling]
- V04.131S — Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, sequela [Sibling]
- and 32 more
Frequently Asked Questions (FAQ) & Clinical Guidance
Does V04.91XA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V04.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V04.91XA in its code family, with their registry titles.
- V04.90 — Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
- V04.90XA — Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter
- V04.90XD — Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter
- V04.90XS — Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequela
- V04.91 — Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
- V04.91XD — Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter
- V04.91XS — Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequela
- V04.92 — Pedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
- V04.92XA — Pedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounter
- V04.92XD — Pedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter