V20 vs V39.40XD
V20 (Motorcycle rider injured in collision with pedestrian or animal) compared with V39.40XD (Driver of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, subsequent 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. V20 carries an Excludes1 note covering V39.40XD: “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).
No — do not report together. V39.40XD 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 | V39.40XDDriver of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter | |
|---|---|---|
| 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). | Driver of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter is a billable ICD-10-CM diagnosis code (V39.40D). |
| 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 |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources