V20 vs V38.1XXS

V20 (Motorcycle rider injured in collision with pedestrian or animal) compared with V38.1XXS (Passenger in three-wheeled motor vehicle injured in noncollision transport accident in nontraffic accident, sequela), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V38.1XXS

Passenger in three-wheeled motor vehicle injured in noncollision transport accident in nontraffic accident, sequela

↔

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. V38.1XXS 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 animal	V38.1XXSPassenger in three-wheeled motor vehicle injured in noncollision transport accident in nontraffic accident, sequela
Billing status	Non-billable header Report instead: V20.01XA, V20.01XD, V20.01XS, V20.09XA, V20.09XD	Billable
Classification	V00-Y99 — External Causes of Morbidity (V00-Y99)	V00-Y99 — External Causes of Morbidity (V00-Y99)
Definition	Motorcycle 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 noncollision transport accident in nontraffic accident, sequela is a billable ICD-10-CM diagnosis code (V38.1S).
7th character	The appropriate 7th character is to be added to each code from category V20	The appropriate 7th character is to be added to each code from category V38
Includes	electric bicycle e-bike e-bicycle moped	fall or thrown from three-wheeled motor vehicle overturning of three-wheeled motor vehicle NOS overturning of three-wheeled motor vehicle without collision motorized tricycle

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