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V20 vs V33.3XXD

V20 (Motorcycle rider injured in collision with pedestrian or animal) compared with V33.3XXD (Unspecified occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V33.3XXD
Unspecified occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter
V20
Motorcycle rider injured in collision with pedestrian or animal

Not coded here — these two are mutually exclusive.

“motorcycle with sidecar (V20-V29)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. V33.3XXD 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 animalV33.3XXDUnspecified occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, subsequent 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).Unspecified occupant of three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, subsequent encounter is a billable ICD-10-CM diagnosis code (V33.3D).
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