V20 (Motorcycle rider injured in collision with pedestrian or animal)
compared with
V39.50XS (Passenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, sequela),
from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Passenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic 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.
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 collision with unspecified motor vehicles in traffic accident, sequela is a billable ICD-10-CM diagnosis code (V39.50S).
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