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

V46 Car occupant injured in collision with other nonmotor vehicle

All 27 codes in the V46 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 V46

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 V46

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
V46.0 Car driver injured in collision with other nonmotor vehicle in nontraffic accident
V46.0XXACar driver injured in collision with other nonmotor vehicle in nontraffic accident, initial encounterCMS: Car driver injured in clsn w nonmtr vehicle nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.0XXDCar driver injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounterCMS: Car driver injured in clsn w nonmtr vehicle nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.0XXSCar driver injured in collision with other nonmotor vehicle in nontraffic accident, sequelaCMS: Car driver injured in clsn w nonmtr vehicle nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.1 Car passenger injured in collision with other nonmotor vehicle in nontraffic accident
V46.1XXACar passenger injured in collision with other nonmotor vehicle in nontraffic accident, initial encounterCMS: Car passenger injured in clsn w nonmtr vehicle nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.1XXDCar passenger injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounterCMS: Car passenger injured in clsn w nonmtr vehicle nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.1XXSCar passenger injured in collision with other nonmotor vehicle in nontraffic accident, sequelaCMS: Car pasngr injured in clsn w nonmtr vehicle nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.2 Person on outside of car injured in collision with other nonmotor vehicle in nontraffic accident
V46.2XXAPerson on outside of car injured in collision with other nonmotor vehicle in nontraffic accident, initial encounterCMS: Person outsd car inj in clsn w nonmtr vehicle nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.2XXDPerson on outside of car injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounterCMS: Person outsd car inj in clsn w nonmtr vehicle nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.2XXSPerson on outside of car injured in collision with other nonmotor vehicle in nontraffic accident, sequelaCMS: Person outsd car inj in clsn w nonmtr vehicle nontraf, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.3 Unspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident
V46.3XXAUnspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident, initial encounterCMS: Unsp car occ injured in clsn w nonmtr vehicle nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.3XXDUnspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident, subsequent encounterCMS: Unsp car occ injured in clsn w nonmtr vehicle nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.3XXSUnspecified car occupant injured in collision with other nonmotor vehicle in nontraffic accident, sequelaCMS: Unsp car occ inj in clsn w nonmtr vehicle nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.4 Person boarding or alighting a car injured in collision with other nonmotor vehicle
V46.4XXAPerson boarding or alighting a car injured in collision with other nonmotor vehicle, initial encounterCMS: Prsn brd/alit a car injured in clsn w nonmtr vehicle, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.4XXDPerson boarding or alighting a car injured in collision with other nonmotor vehicle, subsequent encounterCMS: Prsn brd/alit a car injured in clsn w nonmtr vehicle, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.4XXSPerson boarding or alighting a car injured in collision with other nonmotor vehicle, sequelaCMS: Prsn brd/alit a car inj in clsn w nonmtr vehicle, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.5 Car driver injured in collision with other nonmotor vehicle in traffic accident
V46.5XXACar driver injured in collision with other nonmotor vehicle in traffic accident, initial encounterCMS: Car driver injured in clsn w nonmtr vehicle in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.5XXDCar driver injured in collision with other nonmotor vehicle in traffic accident, subsequent encounterCMS: Car driver injured in clsn w nonmtr vehicle in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.5XXSCar driver injured in collision with other nonmotor vehicle in traffic accident, sequelaCMS: Car driver injured in clsn w nonmtr vehicle in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.6 Car passenger injured in collision with other nonmotor vehicle in traffic accident
V46.6XXACar passenger injured in collision with other nonmotor vehicle in traffic accident, initial encounterCMS: Car passenger injured in clsn w nonmtr vehicle in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.6XXDCar passenger injured in collision with other nonmotor vehicle in traffic accident, subsequent encounterCMS: Car passenger injured in clsn w nonmtr vehicle in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.6XXSCar passenger injured in collision with other nonmotor vehicle in traffic accident, sequelaCMS: Car pasngr injured in clsn w nonmtr vehicle in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.7 Person on outside of car injured in collision with other nonmotor vehicle in traffic accident
V46.7XXAPerson on outside of car injured in collision with other nonmotor vehicle in traffic accident, initial encounterCMS: Person outsd car inj in clsn w nonmtr vehicle in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.7XXDPerson on outside of car injured in collision with other nonmotor vehicle in traffic accident, subsequent encounterCMS: Person outsd car inj in clsn w nonmtr vehicle in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.7XXSPerson on outside of car injured in collision with other nonmotor vehicle in traffic accident, sequelaCMS: Person outsd car inj in clsn w nonmtr vehicle in traf, sqlaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.9 Unspecified car occupant injured in collision with other nonmotor vehicle in traffic accident
V46.9XXAUnspecified car occupant injured in collision with other nonmotor vehicle in traffic accident, initial encounterCMS: Unsp car occ injured in clsn w nonmtr vehicle in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.9XXDUnspecified car occupant injured in collision with other nonmotor vehicle in traffic accident, subsequent encounterCMS: Unsp car occ injured in clsn w nonmtr vehicle in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V46.9XXSUnspecified car occupant injured in collision with other nonmotor vehicle in traffic accident, sequelaCMS: Unsp car occ inj in clsn w nonmtr vehicle 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.

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