ICD-10-CM Tabular Index · Chapter 20 · FY 2027 V40–V49
Car occupant injured in transport accident (V40-V49) ICD-10-CM
The V40–V49 section covers car occupant injured in transport accident with 522 ICD-10-CM diagnosis codes, of which 372 are billable in fiscal year 2027. The section is organized into the 10 code ranges listed below.
✓ Built from the official CMS FY 2027 datasetEffective Oct 1, 2026 – Sep 30, 2027
10
Code Ranges
522
Diagnosis Codes
372
Billable Codes
V40–V49
Code Range
Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
a four-wheeled motor vehicle designed primarily for carrying passengers
automobile (pulling a trailer or camper)
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.
The info icon previews the code ranges inside each row and its instructional notations from the official Tabular List.
About the V40–V49 Code Range
People in or around a car are injured in collisions with pedestrians, animals, vehicles, or fixed objects, or in accidents without a collision.
The categories distinguish collisions with a pedestrian or animal (V40), a pedal cycle (V41), a two- or three-wheeled motor vehicle (V42), or a car, pickup truck, or van (V43). Other categories identify a heavy transport vehicle or bus (V44), a railway vehicle (V45), another nonmotor vehicle (V46), or a fixed object (V47). V48 identifies accidents without a collision, while V49 identifies other or unspecified transport accidents.
Subdivisions distinguish the driver, passenger, person outside the car, or person boarding or leaving it. They also distinguish traffic from nontraffic accidents where specified. The seventh character identifies an initial encounter, subsequent encounter, or sequela.
Questions About This Page
How many codes are in the V40-V49 range?
The V40-V49 range contains 522 ICD-10-CM diagnosis codes in FY 2027. 372 of them are billable, and the rest are category headers that organize the section.
What conditions does V40-V49 cover?
The range covers car occupant injured in transport accident. The code ranges listed above break it into groups of related conditions, and each one links to its own page with the full code list.
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.
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 V41
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
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 V42
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
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 V43
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
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 occupant injured in collision with military vehicle V49.81
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 V44
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
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 V45
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
collision with animal-drawn vehicle, animal being ridden, streetcar
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 V46
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
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 V47
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
overturning car NOS
overturning car 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 V48
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
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 V49
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
