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V20 vs V33.1XXA

V20 (Motorcycle rider injured in collision with pedestrian or animal) compared with V33.1XXA (Passenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. V33.1XXA carries an Excludes1 note covering V20: “motorcycle with sidecar (V20-V29)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

V20Motorcycle rider injured in collision with pedestrian or animalV33.1XXAPassenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter
Billing statusNon-billable header

Report instead: V20.01XA, V20.01XD, V20.01XS, V20.09XA, V20.09XD

Billable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionMotorcycle rider injured in collision with pedestrian or animal is a non-billable ICD-10-CM category code (V20).Passenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V33.1A).
7th characterThe appropriate 7th character is to be added to each code from category V20The appropriate 7th character is to be added to each code from category V33
Includes
electric bicycle
e-bike
e-bicycle
moped
motorized tricycle
motorized rickshaw
three-wheeled motor car

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources