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

V40 Car occupant injured in collision with pedestrian or animal

All 27 codes in the V40 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

27

Can lead a claim

0

Cannot lead a claim

27

What CMS assigns to V40

None of the 27 codes is assigned a clinical group. None of the 27 is assigned a comorbidity subgroup. None can lead a claim.

Every code in V40

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
V40.0 Car driver injured in collision with pedestrian or animal in nontraffic accident
V40.0XXACar driver injured in collision with pedestrian or animal in nontraffic accident, initial encounterCMS: Car driver injured in collision w ped/anml nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.0XXDCar driver injured in collision with pedestrian or animal in nontraffic accident, subsequent encounterCMS: Car driver injured in collision w ped/anml nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.0XXSCar driver injured in collision with pedestrian or animal in nontraffic accident, sequelaCMS: Car driver injured in collision w ped/anml nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.1 Car passenger injured in collision with pedestrian or animal in nontraffic accident
V40.1XXACar passenger injured in collision with pedestrian or animal in nontraffic accident, initial encounterCMS: Car passenger injured in collision w ped/anml nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.1XXDCar passenger injured in collision with pedestrian or animal in nontraffic accident, subsequent encounterCMS: Car passenger injured in collision w ped/anml nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.1XXSCar passenger injured in collision with pedestrian or animal in nontraffic accident, sequelaCMS: Car passenger injured in clsn w ped/anml nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.2 Person on outside of car injured in collision with pedestrian or animal in nontraffic accident
V40.2XXAPerson on outside of car injured in collision with pedestrian or animal in nontraffic accident, initial encounterCMS: Person outside car injured in clsn w ped/anml nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.2XXDPerson on outside of car injured in collision with pedestrian or animal in nontraffic accident, subsequent encounterCMS: Person outside car injured in clsn w ped/anml nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.2XXSPerson on outside of car injured in collision with pedestrian or animal in nontraffic accident, sequelaCMS: Person outside car inj in clsn w ped/anml nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.3 Unspecified car occupant injured in collision with pedestrian or animal in nontraffic accident
V40.3XXAUnspecified car occupant injured in collision with pedestrian or animal in nontraffic accident, initial encounterCMS: Unsp car occupant injured in clsn w ped/anml nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.3XXDUnspecified car occupant injured in collision with pedestrian or animal in nontraffic accident, subsequent encounterCMS: Unsp car occupant injured in clsn w ped/anml nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.3XXSUnspecified car occupant injured in collision with pedestrian or animal in nontraffic accident, sequelaCMS: Unsp car occ injured in clsn w ped/anml nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.4 Person boarding or alighting a car injured in collision with pedestrian or animal
V40.4XXAPerson boarding or alighting a car injured in collision with pedestrian or animal, initial encounterCMS: Prsn brd/alit a car injured in collision w ped/anml, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.4XXDPerson boarding or alighting a car injured in collision with pedestrian or animal, subsequent encounterCMS: Prsn brd/alit a car injured in collision w ped/anml, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.4XXSPerson boarding or alighting a car injured in collision with pedestrian or animal, sequelaCMS: Prsn brd/alit a car injured in collision w ped/anml, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.5 Car driver injured in collision with pedestrian or animal in traffic accident
V40.5XXACar driver injured in collision with pedestrian or animal in traffic accident, initial encounterCMS: Car driver injured in collision w ped/anml in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.5XXDCar driver injured in collision with pedestrian or animal in traffic accident, subsequent encounterCMS: Car driver injured in collision w ped/anml in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.5XXSCar driver injured in collision with pedestrian or animal in traffic accident, sequelaCMS: Car driver injured in collision w ped/anml in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.6 Car passenger injured in collision with pedestrian or animal in traffic accident
V40.6XXACar passenger injured in collision with pedestrian or animal in traffic accident, initial encounterCMS: Car passenger injured in collision w ped/anml in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.6XXDCar passenger injured in collision with pedestrian or animal in traffic accident, subsequent encounterCMS: Car passenger injured in collision w ped/anml in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.6XXSCar passenger injured in collision with pedestrian or animal in traffic accident, sequelaCMS: Car passenger injured in clsn w ped/anml in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.7 Person on outside of car injured in collision with pedestrian or animal in traffic accident
V40.7XXAPerson on outside of car injured in collision with pedestrian or animal in traffic accident, initial encounterCMS: Person outside car injured in clsn w ped/anml in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.7XXDPerson on outside of car injured in collision with pedestrian or animal in traffic accident, subsequent encounterCMS: Person outside car injured in clsn w ped/anml in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.7XXSPerson on outside of car injured in collision with pedestrian or animal in traffic accident, sequelaCMS: Person outside car inj in clsn w ped/anml in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.9 Unspecified car occupant injured in collision with pedestrian or animal in traffic accident
V40.9XXAUnspecified car occupant injured in collision with pedestrian or animal in traffic accident, initial encounterCMS: Unsp car occupant injured in clsn w ped/anml in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.9XXDUnspecified car occupant injured in collision with pedestrian or animal in traffic accident, subsequent encounterCMS: Unsp car occupant injured in clsn w ped/anml in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V40.9XXSUnspecified car occupant injured in collision with pedestrian or animal in traffic accident, sequelaCMS: Unsp car occ injured in clsn w ped/anml in traf, 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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue