Bus occupant injured in noncollision transport accident (V78)

The ICD-10 code V78 series is used to classify injuries sustained by bus occupants involved in noncollision transport accidents, where the bus is not colliding with another vehicle or object. These codes specify the role of the injured person; such as driver, passenger, or person on the outside of the bus; and distinguish between traffic and nontraffic accidents as well as initial, subsequent, or sequela encounters.

These codes cover a range of scenarios including drivers (V78.0, V78.5), passengers (V78.1, V78.6), persons on the outside of the bus (V78.2, V78.7), and unspecified occupants (V78.3, V78.9). Additionally, injuries while boarding or alighting from a bus are captured under V78.4, with detailed subcodes addressing incidents such as falls down bus stairs or being trapped by bus doors. This grouping helps healthcare providers document and differentiate noncollision injuries related to bus transport, ensuring accurate reporting for varying encounter types like initial treatment, follow-up care, or complications following the injury. Medical coders should use these codes to precisely identify noncollision bus accident injuries by occupant type and accident context.

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

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

        • Bus occupant injured in noncollision transport accident (V78)

        • V78 Bus occupant injured in noncollision transport accident
        • V78.0 Driver of bus injured in noncollision transport accident in nontraffic accident
        • V78.0XXA Driver of bus injured in noncollision transport accident in nontraffic accident, initial encounter
        • V78.0XXD Driver of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
        • V78.0XXS Driver of bus injured in noncollision transport accident in nontraffic accident, sequela
        • V78.1 Passenger on bus injured in noncollision transport accident in nontraffic accident
        • V78.1XXA Passenger on bus injured in noncollision transport accident in nontraffic accident, initial encounter
        • V78.1XXD Passenger on bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
        • V78.1XXS Passenger on bus injured in noncollision transport accident in nontraffic accident, sequela
        • V78.2 Person on outside of bus injured in noncollision transport accident in nontraffic accident
        • V78.2XXA Person on outside of bus injured in noncollision transport accident in nontraffic accident, initial encounter
        • V78.2XXD Person on outside of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
        • V78.2XXS Person on outside of bus injured in noncollision transport accident in nontraffic accident, sequela
        • V78.3 Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident
        • V78.3XXA Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, initial encounter
        • V78.3XXD Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, subsequent encounter
        • V78.3XXS Unspecified occupant of bus injured in noncollision transport accident in nontraffic accident, sequela
        • V78.4 Person boarding or alighting from bus injured in noncollision transport accident
        • V78.4XXA Person boarding or alighting from bus injured in noncollision transport accident, initial encounter
        • V78.4XXD Person boarding or alighting from bus injured in noncollision transport accident, subsequent encounter
        • V78.4XXS Person boarding or alighting from bus injured in noncollision transport accident, sequela
        • V78.5 Driver of bus injured in noncollision transport accident in traffic accident
        • V78.5XXA Driver of bus injured in noncollision transport accident in traffic accident, initial encounter
        • V78.5XXD Driver of bus injured in noncollision transport accident in traffic accident, subsequent encounter
        • V78.5XXS Driver of bus injured in noncollision transport accident in traffic accident, sequela
        • V78.6 Passenger on bus injured in noncollision transport accident in traffic accident
        • V78.6XXA Passenger on bus injured in noncollision transport accident in traffic accident, initial encounter
        • V78.6XXD Passenger on bus injured in noncollision transport accident in traffic accident, subsequent encounter
        • V78.6XXS Passenger on bus injured in noncollision transport accident in traffic accident, sequela
        • V78.7 Person on outside of bus injured in noncollision transport accident in traffic accident
        • V78.7XXA Person on outside of bus injured in noncollision transport accident in traffic accident, initial encounter
        • V78.7XXD Person on outside of bus injured in noncollision transport accident in traffic accident, subsequent encounter
        • V78.7XXS Person on outside of bus injured in noncollision transport accident in traffic accident, sequela
        • V78.9 Unspecified occupant of bus injured in noncollision transport accident in traffic accident
        • V78.9XXA Unspecified occupant of bus injured in noncollision transport accident in traffic accident, initial encounter
        • V78.9XXD Unspecified occupant of bus injured in noncollision transport accident in traffic accident, subsequent encounter
        • V78.9XXS Unspecified occupant of bus injured in noncollision transport accident in traffic accident, sequela

Instructional Notations

Includes

This note appears immediately under a three character code title to further define, or give examples of, the content of the category.

  • overturning bus NOS
  • overturning bus without collision

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 V78

7th Character

Indicates that a seventh character is to be assigned to codes in a subcategory.

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela