October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

V04 Pedestrian injured in collision with heavy transport vehicle or bus

All 54 codes in the V04 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

54

Can lead a claim

0

Cannot lead a claim

54

What CMS assigns to V04

None of the 54 codes is assigned a clinical group. None of the 54 is assigned a comorbidity subgroup. None can lead a claim.

Every code in V04

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
V04.0 Pedestrian injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.00 Pedestrian on foot injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.00XAPedestrian on foot injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Ped on foot injured in collision w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.00XDPedestrian on foot injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Ped on foot injured in collision w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.00XSPedestrian on foot injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Ped on foot injured in collision w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.01 Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.01XAPedestrian on roller-skates injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Ped on rolr-skt injured in collision w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.01XDPedestrian on roller-skates injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Ped on rolr-skt injured in collision w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.01XSPedestrian on roller-skates injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Ped on rolr-skt injured in clsn w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.02 Pedestrian on skateboard injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.02XAPedestrian on skateboard injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Ped on sktbrd injured in collision w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.02XDPedestrian on skateboard injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Ped on sktbrd injured in collision w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.02XSPedestrian on skateboard injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Ped on sktbrd injured in collision w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.03 Pedestrian on standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.031 Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.031APedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Ped on stnd electr scoot inj clsn with hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.031DPedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Ped on stnd electr scoot inj clsn with hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.031SPedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Ped on stnd electr scoot inj clsn with hv veh nontraf, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.038 Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.038APedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.038DPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.038SPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Ped oth stnd micr-mob conv inj clsn w hv veh nontraf, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.09 Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident
V04.09XAPedestrian with other conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Ped w convey injured in collision w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.09XDPedestrian with other conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Ped w convey injured in collision w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.09XSPedestrian with other conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Ped w convey injured in collision w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.1 Pedestrian injured in collision with heavy transport vehicle or bus in traffic accident
V04.10 Pedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident
V04.10XAPedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Ped on foot injured in collision w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.10XDPedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Ped on foot injured in collision w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.10XSPedestrian on foot injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Ped on foot injured in collision w hv veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.11 Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus in traffic accident
V04.11XAPedestrian on roller-skates injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Ped on rolr-skt injured in collision w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.11XDPedestrian on roller-skates injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Ped on rolr-skt injured in collision w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.11XSPedestrian on roller-skates injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Ped on rolr-skt injured in clsn w hv veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.12 Pedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident
V04.12XAPedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Ped on sktbrd injured in collision w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.12XDPedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Ped on sktbrd injured in collision w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.12XSPedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Ped on sktbrd injured in collision w hv veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.13 Pedestrian on standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident
V04.131 Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident
V04.131APedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Ped on stnd electr scoot inj clsn with hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.131DPedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Ped on stnd electr scoot inj clsn with hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.131SPedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Ped on stnd electr scoot inj clsn with hv veh in traf, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.138 Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident
V04.138APedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Ped oth stnd micr-mob conv inj clsn w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.138DPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Ped oth stnd micr-mob conv inj clsn w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.138SPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Ped oth stnd micr-mob conv inj clsn w hv veh in traf, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.19 Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus in traffic accident
V04.19XAPedestrian with other conveyance injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Ped w convey injured in collision w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.19XDPedestrian with other conveyance injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Ped w convey injured in collision w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.19XSPedestrian with other conveyance injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Ped w convey injured in collision w hv veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.9 Pedestrian injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.90 Pedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.90XAPedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounterCMS: Pedestrian on foot injured in collision w hv veh, unsp, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.90XDPedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounterCMS: Pedestrian on foot injured in collision w hv veh, unsp, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.90XSPedestrian on foot injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequelaCMS: Ped on foot injured in collision w hv veh, unsp, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.91 Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.91XAPedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounterCMS: Ped on rolr-skt injured in collision w hv veh, unsp, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.91XDPedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounterCMS: Ped on rolr-skt injured in collision w hv veh, unsp, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.91XSPedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequelaCMS: Ped on rolr-skt injured in collision w hv veh, unsp, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.92 Pedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.92XAPedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounterCMS: Ped on skateboard injured in collision w hv veh, unsp, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.92XDPedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounterCMS: Ped on skateboard injured in collision w hv veh, unsp, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.92XSPedestrian on skateboard injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequelaCMS: Ped on sktbrd injured in collision w hv veh, unsp, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.93 Pedestrian on standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.931 Pedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.931APedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounterCMS: Ped on stnd electr scoot inj in clsn with hv veh, unsp, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.931DPedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounterCMS: Ped on stnd electr scoot inj in clsn with hv veh, unsp, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.931SPedestrian on standing electric scooter injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequelaCMS: Ped on stnd electr scoot inj in clsn with hv veh, unsp, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.938 Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.938APedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounterCMS: Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.938DPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounterCMS: Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.938SPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequelaCMS: Ped oth stnd micr-mob conv inj clsn with hv veh, unsp, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.99 Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident
V04.99XAPedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, initial encounterCMS: Ped w convey injured in collision w hv veh, unsp, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.99XDPedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounterCMS: Ped w convey injured in collision w hv veh, unsp, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V04.99XSPedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, sequelaCMS: Ped w convey injured in collision w hv veh, unsp, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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