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V20.49XD vs V30

V20.49XD (Other motorcycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter) compared with V30 (Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V20.49XD
Other motorcycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter
V30
Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal

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

Conflict

Excludes1 conflict

V30
Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal
V20.49XD
Other motorcycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter

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. V20.49XD carries an Excludes1 note covering V30: “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. V30 carries an Excludes1 note covering V20.49XD: “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

V20.49XDOther motorcycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounterV30Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal
Billing statusBillableNon-billable header

Report instead: V30.0XXA, V30.0XXD, V30.0XXS, V30.1XXA, V30.1XXD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionOther motorcycle driver injured in collision with pedestrian or animal in traffic accident, subsequent encounter is a billable ICD-10-CM diagnosis code (V20.49D).Occupant of three-wheeled motor vehicle injured in collision with pedestrian or animal is a non-billable ICD-10-CM category code (V30).
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 V30
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