Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus (V64) ICD-10-CM
The V64 code range covers occupant of heavy transport vehicle 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.
- occupant of heavy transport vehicle injured in collision with military vehicle V69.81
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 V64
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 V64 Range 37 codes · 27 billable
- V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or busNon-billable
- V64.0 Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V64.0XXA Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V64.0XXD Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V64.0XXS Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V64.1 Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V64.1XXA Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V64.1XXD Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V64.1XXS Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V64.2 Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V64.2XXA Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V64.2XXD Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V64.2XXS Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V64.3 Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accidentNon-billable
- V64.3XXA Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, initial encounter
- V64.3XXD Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter
- V64.3XXS Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident, sequela
- V64.4 Person boarding or alighting a heavy transport vehicle injured in collision with heavy transport vehicle or bus while boarding or alightingNon-billable
- V64.4XXA Person boarding or alighting a heavy transport vehicle injured in collision with heavy transport vehicle or bus while boarding or alighting, initial encounter
- V64.4XXD Person boarding or alighting a heavy transport vehicle injured in collision with heavy transport vehicle or bus while boarding or alighting, subsequent encounter
- V64.4XXS Person boarding or alighting a heavy transport vehicle injured in collision with heavy transport vehicle or bus while boarding or alighting, sequela
- V64.5 Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V64.5XXA Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V64.5XXD Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V64.5XXS Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, sequela
- V64.6 Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V64.6XXA Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V64.6XXD Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V64.6XXS Passenger in heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, sequela
- V64.7 Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V64.7XXA Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V64.7XXD Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V64.7XXS Person on outside of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, sequela
- V64.9 Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accidentNon-billable
- V64.9XXA Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter
- V64.9XXD Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, subsequent encounter
- V64.9XXS Unspecified occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus in traffic accident, sequela
About the V64 Code Range
The ICD-10 code V64 series is used to specify injuries sustained by occupants of heavy transport vehicles during collisions with other heavy transport vehicles or buses. These codes distinguish the type of occupant—driver, passenger, person on the outside, or someone boarding or alighting—and whether the incident occurred in a traffic or nontraffic accident.
These codes, such as V64.0 for drivers injured in nontraffic incidents and V64.5 for drivers injured in traffic accidents, provide detailed classification for accurate injury reporting. They also include specific encounter types: initial (XXA), subsequent (XXD), and sequela (XXS). Although there are no listed synonyms, medical coders should use these codes when documenting injuries related to heavy vehicle collisions that involve truck or bus occupants to ensure precise external cause coding in both clinical and administrative contexts.
Questions About This Page
How many billable codes are in the V64 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 V64 range classify?
The range classifies occupant of heavy transport vehicle 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.
