V04.90XD — Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter
Is V04.90XD billable?
Yes, but V04.90XD is an unspecified code. V04.90XD is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, V04.90XD is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting V04.90XD — the more specific alternatives are listed below.
V04.90XD at a glance
| Code | V04.90XD |
|---|---|
| Description | Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in V04.90XD?
In V04.90XD, the 7th character D means subsequent encounter. The 7th character is required for V04.90XD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
How is V04.90XD listed in the External Cause Index?
The External Cause of Injuries Index lists these routes under V04.90, the nearest indexed parent of V04.90XD. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.
- Accident › transport › pedestrian › on foot › collision › bus or heavy transport (to)
Inclusion terms
Alternative wording in documentation that is classified to V04.90XD.
- Pedestrian NOS injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
Excludes1 — never code together — inherited from V00-V09
The conditions below can never be reported together with V04.90XD on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes1 — never code together — inherited from V04
The conditions below can never be reported together with V04.90XD on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
How long has V04.90XD existed?
V04.90XD has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.