Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus (V64)

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.

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

    • Occupant of heavy transport vehicle injured in transport accident (V60-V69)

        • Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus (V64)

        • V64 Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus
        • V64.0 Driver of heavy transport vehicle injured in collision with heavy transport vehicle or bus in nontraffic accident
        • 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 accident
        • 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 accident
        • 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 accident
        • 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 alighting
        • 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 accident
        • 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 accident
        • 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 accident
        • 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 accident
        • 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

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.

  • 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