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ICD-10-CM 2027 diagnosis code

V04.91XDPedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

V04.91XD is a valid, billable ICD-10-CM code for pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Ped on rolr-skt injured in collision w hv veh, unsp, subs

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About V04.91XD

V04.91XD is the ICD-10-CM diagnosis code for pedestrian on roller-skates injured in collision with heavy transport vehicle or bus, unspecified whether traffic or nontraffic accident, subsequent encounter. It belongs to category V04 (pedestrian injured in collision with heavy transport vehicle or bus), block V00-V09 (pedestrian injured in transport accident) and chapter 20 (external causes of morbidity). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as E814.7 (motor vehicle traffic accident involving collision with pedestrian injuring pedestrian).

7th character

Dsubsequent encounter

Other encounter types for V04.91:

Notes that apply from higher levels

Instructions written at a parent level also apply to V04.91XD.

› From V04 Pedestrian injured in collision with heavy transport vehicle or bus
Excludes1
  • pedestrian injured in collision with military vehicle (V09.01, V09.21)

Broader instructions also apply from V00-V09 Pedestrian injured in transport accident and Chapter 20: External causes of morbidity.

ICD-9-CM equivalent

Converter →
  • E814.7Motor vehicle traffic accident involving collision with pedestrian injuring pedestrianapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about V04.91XD

Is V04.91XD billable?

Yes. V04.91XD is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of V04.91XD mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can V04.91XD be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict V04.91XD as a principal diagnosis.

Is V04.91XD a CC or MCC?

No. V04.91XD is neither a CC nor an MCC under MS-DRG v44.0.

What is the ICD-9 code for V04.91XD?

The CMS General Equivalence Mappings map V04.91XD to ICD-9-CM E814.7.