ICD-10/V78.4

V78.4 ICD 2026 Code: Person boarding or alighting from bus injured in noncollision transport accident

V78.4 is the authoritative medical code for Person boarding or alighting from bus injured in noncollision transport accident. This classification is used in medical billing and clinical recording to specify the clinical criteria for person boarding or alighting from bus injured in noncollision transport accident (ICD-10-CM V78.4), ensuring healthcare documentation aligns with 2026 federal coding standards.

Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.

Official Registry Overview & Definition

Person boarding or alighting from bus injured in noncollision transport accident is a non-billable ICD-10-CM category code V78.4. A more specific billable subcode must be selected for claims submission. Includes: overturning bus NOS; overturning bus without collision; motorcoach. Excludes1 (not coded here): minibus V50-V59. 7th character: The appropriate 7th character is to be added to each code from category V78.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for V78.4 in the official ICD-10-CM tabular list.

Includes

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

  • overturning bus NOS
  • overturning bus without collision
  • motorcoach

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • minibus V50-V59

Frequently Asked Questions (FAQ) & Clinical Guidance

Can V78.4 be billed directly?

No. V78.4 (Person boarding or alighting from bus injured in noncollision transport accident) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.

Does V78.4 require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category V78.

What can't be coded together with V78.4?

Per Excludes1 instructions, V78.4 must not be reported with: minibus (V50-V59).

Codes in This Family (40)

Official ICD-10-CM classifications in the same code family as V78.4, with their registry titles.

  • V78 — Bus occupant injured in noncollision transport accident
  • V78.0 — Driver of bus injured in noncollision transport accident in nontraffic accident
  • V78.0A — Driver of bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.0D — Driver of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.0S — Driver of bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.0XXA — Driver of bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.0XXD — Driver of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.0XXS — Driver of bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.1 — Passenger on bus injured in noncollision transport accident in nontraffic accident
  • V78.1A — Passenger on bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.1D — Passenger on bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.1S — Passenger on bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.1XXA — Passenger on bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.1XXD — Passenger on bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.1XXS — Passenger on bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.2 — Person on outside of bus injured in noncollision transport accident in nontraffic accident
  • V78.2A — Person on outside of bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.2D — Person on outside of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.2S — Person on outside of bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.2XXA — Person on outside of bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.2XXD — Person on outside of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.2XXS — Person on outside of bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.3 — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident
  • V78.3A — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.3D — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.3S — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.3XXA — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, initial encounter
  • V78.3XXD — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
  • V78.3XXS — Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, sequela
  • V78.4A — Person boarding or alighting from bus injured in noncollision transport accident, initial encounter
  • V78.4D — Person boarding or alighting from bus injured in noncollision transport accident, subsequent encounter
  • V78.4S — Person boarding or alighting from bus injured in noncollision transport accident, sequela
  • V78.4XXA — Person boarding or alighting from bus injured in noncollision transport accident, initial encounter
  • V78.4XXD — Person boarding or alighting from bus injured in noncollision transport accident, subsequent encounter
  • V78.4XXS — Person boarding or alighting from bus injured in noncollision transport accident, sequela
  • V78.5 — Driver of bus injured in noncollision transport accident in traffic accident
  • V78.5A — Driver of bus injured in noncollision transport accident in traffic accident, initial encounter
  • V78.5D — Driver of bus injured in noncollision transport accident in traffic accident, subsequent encounter
  • V78.5S — Driver of bus injured in noncollision transport accident in traffic accident, sequela
  • V78.5XXA — Driver of bus injured in noncollision transport accident in traffic accident, initial encounter

Indexed As (1)

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

  • Accident (to), transport (involving injury to), bus occupant, noncollision accident (traffic), while boarding or alighting

Related Codes & Numerical Sequence (Crawl Map)

Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:

ICD Code V73.4 Person boarding or alighting from bus injured in collision with car, pick-up truck or van
ICD Code V74.4 Person boarding or alighting from bus injured in collision with heavy transport vehicle or bus
ICD Code V75.4 Person boarding or alighting from bus injured in collision with railway train or railway vehicle
ICD Code V76.4 Person boarding or alighting from bus injured in collision with other nonmotor vehicle
ICD Code V77.4 Person boarding or alighting from bus injured in collision with fixed or stationary object
ICD Code V79.4 Driver of bus injured in collision with other and unspecified motor vehicles in traffic accident
ICD Code V80.4 Animal-rider or occupant of animal-drawn vehicle injured in collision with car, pick-up truck, van, heavy transport vehicle or bus
ICD Code V81.4 Person injured while boarding or alighting from railway train or railway vehicle
ICD Code V82.4 Person injured while boarding or alighting from streetcar
ICD Code V83.4 Person injured while boarding or alighting from special industrial vehicle
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