ICD-10 V04.0
Non-Billable HeaderPedestrian injured in collision with heavy transport vehicle or bus in nontraffic accident
About ICD-10-CM V04.0
ICD-10-CM code V04.0 represents Pedestrian injured in collision with heavy transport vehicle or bus in nontraffic accident. This is a non-billable header code in the External Causes of Morbidity chapter (block V04). The 2026 edition of ICD-10-CM V04.0 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Medicare LCD Coverage for V04.0
Local Coverage Determinations (LCDs) from CMS MACs that list V04.0 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing V04.0.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but V04.0 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with V04.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To V04.0
Other codes in section V00-V09 (Pedestrian injured in transport accident).
ICD-10 V04.0, Billing FAQ
Is ICD-10 code V04.0 billable? +
No, V04.0 is a non-billable header code. Use a more specific child code from block V04 when submitting claims.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team