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.
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.
| Code | Description | Primary position | Clinical group | Comorbidity 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 | ||||
| V04.00XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.00XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.00XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.01 Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus in nontraffic accident | ||||
| V04.01XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.01XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.01XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.02 Pedestrian on skateboard injured in collision with heavy transport vehicle or bus in nontraffic accident | ||||
| V04.02XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.02XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.02XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 | ||||
| V04.031A | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.031D | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.031S | Pedestrian 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, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.038 Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident | ||||
| V04.038A | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.038D | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.038S | Pedestrian 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, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.09 Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident | ||||
| V04.09XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.09XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.09XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 | ||||
| V04.10XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.10XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.10XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.11 Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus in traffic accident | ||||
| V04.11XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.11XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.11XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.12 Pedestrian on skateboard injured in collision with heavy transport vehicle or bus in traffic accident | ||||
| V04.12XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.12XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.12XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 | ||||
| V04.131A | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.131D | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.131S | Pedestrian 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, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.138 Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in traffic accident | ||||
| V04.138A | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.138D | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.138S | Pedestrian 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, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.19 Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus in traffic accident | ||||
| V04.19XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.19XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.19XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 | ||||
| V04.90XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.90XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.90XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.91 Pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident | ||||
| V04.91XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.91XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.91XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 encounterCMS: Ped on skateboard injured in collision w hv veh, unsp, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.92XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.92XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 | ||||
| V04.931A | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.931D | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.931S | Pedestrian 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, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| 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 | ||||
| V04.938A | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.938D | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.938S | Pedestrian 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, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.99 Pedestrian with other conveyance injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident | ||||
| V04.99XA | Pedestrian 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, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.99XD | Pedestrian 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, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V04.99XS | Pedestrian 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, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
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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