Bus occupant injured in collision with heavy transport vehicle or bus (V74) ICD-10-CM
The V74 code range covers bus occupant injured in collision with heavy transport vehicle or bus with 37 ICD-10-CM diagnosis codes. 27 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- bus occupant injured in collision with military vehicle V79.81
7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- The appropriate 7th character is to be added to each code from category V74
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter
- D - subsequent encounter
- S - sequela
Codes in the V74 Range 37 codes · 27 billable
- V74 Bus occupant injured in collision with heavy transport vehicle or busNon-billable
- V74.0 Driver of bus injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V74.0XXA Driver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V74.0XXD Driver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V74.0XXS Driver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V74.1 Passenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V74.1XXA Passenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V74.1XXD Passenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V74.1XXS Passenger on bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V74.2 Person on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V74.2XXA Person on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V74.2XXD Person on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V74.2XXS Person on outside of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V74.3 Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V74.3XXA Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V74.3XXD Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V74.3XXS Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V74.4 Person boarding or alighting from bus injured in collision with heavy transport vehicle or busNon-billable
- V74.4XXA Person boarding or alighting from bus injured in collision with heavy transport vehicle or bus, initial encounter
- V74.4XXD Person boarding or alighting from bus injured in collision with heavy transport vehicle or bus, subsequent encounter
- V74.4XXS Person boarding or alighting from bus injured in collision with heavy transport vehicle or bus, sequela
- V74.5 Driver of bus injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V74.5XXA Driver of bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V74.5XXD Driver of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V74.5XXS Driver of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequela
- V74.6 Passenger on bus injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V74.6XXA Passenger on bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V74.6XXD Passenger on bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V74.6XXS Passenger on bus injured in collision with heavy transport vehicle or bus in traffic accident, sequela
- V74.7 Person on outside of bus injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V74.7XXA Person on outside of bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V74.7XXD Person on outside of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V74.7XXS Person on outside of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequela
- V74.9 Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V74.9XXA Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V74.9XXD Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V74.9XXS Unspecified occupant of bus injured in collision with heavy transport vehicle or bus in traffic accident, sequela
About the V74 Code Range
The ICD-10 code V74 series is specifically used to identify injuries sustained by bus occupants involved in collisions with heavy transport vehicles or other buses. These codes categorize the injured person by their role—driver, passenger, person on the bus exterior, or someone boarding or alighting—and specify whether the collision occurred in a traffic or nontraffic setting.
This coding section helps medical coders accurately document injuries from bus crashes. For example, V74.0 codes cover the bus driver injured in nontraffic accidents, while V74.5 codes refer to drivers injured in traffic accidents. Passengers use V74.1 (nontraffic) and V74.6 (traffic), and individuals on the outside of the bus are coded under V74.2 and V74.7 respectively. Encounter types are further detailed by seventh characters: initial encounter (XXA), subsequent encounter (XXD), or sequela (XXS), allowing precise tracking of treatment phases. Using these codes ensures injuries related to collisions involving buses and heavy transport vehicles are thoroughly classified for clinical and administrative purposes.
Questions About This Page
How many billable codes are in the V74 range?
Of the 37 codes in this range, 27 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the V74 range classify?
The range classifies bus occupant injured in collision with heavy transport vehicle or bus. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
