Car occupant injured in collision with pedestrian or animal (V40)

The V40 ICD-10 codes are used to classify injuries sustained by car occupants in collisions involving pedestrians or animals. These codes specify the role of the injured person; such as driver, passenger, or person on the outside of the car; and distinguish between nontraffic and traffic accidents.

The section covers detailed codes like V40.0 for car drivers, V40.1 for passengers, and V40.2 for persons on the outside of the car, all injured in nontraffic collisions with pedestrians or animals. Corresponding codes with seventh characters (e.g., XXA, XXD, XXS) denote initial encounters, subsequent encounters, and sequelae, respectively. For traffic accidents, similar codes exist from V40.5 to V40.9, including unspecified occupants. Notably, some unspecified occupant codes under V40.9 incorporate synonyms like "Motor vehicle traffic accident involving collision, on highway, between motor vehicle and animal," helping coders identify the correct ICD-10 code for collision with animal or pedestrian injuries when details are unclear. This specificity aids healthcare providers and coders in accurately documenting circumstances of car occupant injuries caused by contact with pedestrians or animals.

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

    • Car occupant injured in transport accident (V40-V49)

        • Car occupant injured in collision with pedestrian or animal (V40)

        • V40 Car occupant injured in collision with pedestrian or animal
        • V40.0 Car driver injured in collision with pedestrian or animal in nontraffic accident
        • V40.0XXA Car driver injured in collision with pedestrian or animal in nontraffic accident, initial encounter
        • V40.0XXD Car driver injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter
        • V40.0XXS Car driver injured in collision with pedestrian or animal in nontraffic accident, sequela
        • V40.1 Car passenger injured in collision with pedestrian or animal in nontraffic accident
        • V40.1XXA Car passenger injured in collision with pedestrian or animal in nontraffic accident, initial encounter
        • V40.1XXD Car passenger injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter
        • V40.1XXS Car passenger injured in collision with pedestrian or animal in nontraffic accident, sequela
        • V40.2 Person on outside of car injured in collision with pedestrian or animal in nontraffic accident
        • V40.2XXA Person on outside of car injured in collision with pedestrian or animal in nontraffic accident, initial encounter
        • V40.2XXD Person on outside of car injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter
        • V40.2XXS Person on outside of car injured in collision with pedestrian or animal in nontraffic accident, sequela
        • V40.3 Unspecified car occupant injured in collision with pedestrian or animal in nontraffic accident
        • V40.3XXA Unspecified car occupant injured in collision with pedestrian or animal in nontraffic accident, initial encounter
        • V40.3XXD Unspecified car occupant injured in collision with pedestrian or animal in nontraffic accident, subsequent encounter
        • V40.3XXS Unspecified car occupant injured in collision with pedestrian or animal in nontraffic accident, sequela
        • V40.4 Person boarding or alighting a car injured in collision with pedestrian or animal
        • V40.4XXA Person boarding or alighting a car injured in collision with pedestrian or animal, initial encounter
        • V40.4XXD Person boarding or alighting a car injured in collision with pedestrian or animal, subsequent encounter
        • V40.4XXS Person boarding or alighting a car injured in collision with pedestrian or animal, sequela
        • V40.5 Car driver injured in collision with pedestrian or animal in traffic accident
        • V40.5XXA Car driver injured in collision with pedestrian or animal in traffic accident, initial encounter
        • V40.5XXD Car driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter
        • V40.5XXS Car driver injured in collision with pedestrian or animal in traffic accident, sequela
        • V40.6 Car passenger injured in collision with pedestrian or animal in traffic accident
        • V40.6XXA Car passenger injured in collision with pedestrian or animal in traffic accident, initial encounter
        • V40.6XXD Car passenger injured in collision with pedestrian or animal in traffic accident, subsequent encounter
        • V40.6XXS Car passenger injured in collision with pedestrian or animal in traffic accident, sequela
        • V40.7 Person on outside of car injured in collision with pedestrian or animal in traffic accident
        • V40.7XXA Person on outside of car injured in collision with pedestrian or animal in traffic accident, initial encounter
        • V40.7XXD Person on outside of car injured in collision with pedestrian or animal in traffic accident, subsequent encounter
        • V40.7XXS Person on outside of car injured in collision with pedestrian or animal in traffic accident, sequela
        • V40.9 Unspecified car occupant injured in collision with pedestrian or animal in traffic accident
        • V40.9XXA Unspecified car occupant injured in collision with pedestrian or animal in traffic accident, initial encounter
        • V40.9XXD Unspecified car occupant injured in collision with pedestrian or animal in traffic accident, subsequent encounter
        • V40.9XXS Unspecified car occupant injured in collision with pedestrian or animal 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.

  • car collision with animal-drawn vehicle or animal being ridden V46

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 V40

7th Character

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

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