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  3. V01–Y99
  4. V70-V79
  5. Bus occupant injured in collision with heavy transport vehicle or bus (V74)

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

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.

  • External causes of morbidity and mortality (V01–Y99)

    • Bus occupant injured in transport accident (V70-V79)

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

        • V74 Bus occupant injured in collision with heavy transport vehicle or bus
        • V74.0 Driver of bus injured in collision with heavy transport vehicle or bus in nontraffic accident
        • 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 accident
        • 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 accident
        • 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 accident
        • 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 bus
        • 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 accident
        • 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 accident
        • 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 accident
        • 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 accident
        • 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

Instructional Notations

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