V20 vs V39.20XS

V20 (Motorcycle rider injured in collision with pedestrian or animal) compared with V39.20XS (Unspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles 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

V20

Motorcycle rider injured in collision with pedestrian or animal

↔

V39.20XS

Unspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in nontraffic accident, sequela

Not coded here — these two are mutually exclusive.

“three-wheeled motor vehicle (V30-V39)”

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. V20 carries an Excludes1 note covering V39.20XS: “three-wheeled motor vehicle (V30-V39)”

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	V39.20XSUnspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles 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).	Unspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in nontraffic accident, sequela is a billable ICD-10-CM diagnosis code (V39.20S).
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 V39
Includes	electric bicycle e-bike e-bicycle moped	motorized tricycle motorized rickshaw three-wheeled motor car Collision NOS involving three-wheeled motor vehicle, nontraffic

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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