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

V74 Bus occupant injured in collision with heavy transport vehicle or bus

All 27 codes in the V74 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 V74

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 V74

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
V74.0 Driver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident
V74.0XXADriver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Driver of bus injured in collision w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.0XXDDriver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Driver of bus injured in collision w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.0XXSDriver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Driver of bus injured in collision w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.1 Passenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accident
V74.1XXAPassenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Passenger on bus injured in collision w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.1XXDPassenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Passenger on bus injured in collision w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.1XXSPassenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Passenger on bus injured in clsn w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.2 Person on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accident
V74.2XXAPerson on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Person outside bus injured in clsn w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.2XXDPerson on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Person outside bus injured in clsn w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.2XXSPerson on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Person outside bus injured in clsn w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.3 Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accident
V74.3XXAUnspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounterCMS: Occup of bus injured in collision w hv veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.3XXDUnspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounterCMS: Occup of bus injured in collision w hv veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.3XXSUnspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequelaCMS: Occup of bus injured in collision w hv veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.4 Person boarding or alighting from bus injured in collision with heavy transport vehicle or bus
V74.4XXAPerson boarding or alighting from bus injured in collision with heavy transport vehicle or bus, initial encounterCMS: Prsn brd/alit from bus injured in collision w hv veh, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.4XXDPerson boarding or alighting from bus injured in collision with heavy transport vehicle or bus, subsequent encounterCMS: Prsn brd/alit from bus injured in collision w hv veh, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.4XXSPerson boarding or alighting from bus injured in collision with heavy transport vehicle or bus, sequelaCMS: Prsn brd/alit from bus injured in clsn w hv veh, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.5 Driver of bus injured in collision with heavy transport vehicle or bus in traffic accident
V74.5XXADriver of bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Driver of bus injured in collision w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.5XXDDriver of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Driver of bus injured in collision w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.5XXSDriver of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Driver of bus injured in collision w hv veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.6 Passenger on bus injured in collision with heavy transport vehicle or bus in traffic accident
V74.6XXAPassenger on bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Passenger on bus injured in collision w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.6XXDPassenger on bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Passenger on bus injured in collision w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.6XXSPassenger on bus injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Passenger on bus injured in clsn w hv veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.7 Person on outside of bus injured in collision with heavy transport vehicle or bus in traffic accident
V74.7XXAPerson on outside of bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Person outside bus injured in clsn w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.7XXDPerson on outside of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Person outside bus injured in clsn w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.7XXSPerson on outside of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Person outside bus injured in clsn w hv veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.9 Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident
V74.9XXAUnspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterCMS: Occup of bus injured in collision w hv veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.9XXDUnspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounterCMS: Occup of bus injured in collision w hv veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V74.9XXSUnspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequelaCMS: Occup of bus injured in collision w hv veh 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