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V29 vs V39.19XD

V29 (Motorcycle rider injured in other and unspecified transport accidents) compared with V39.19XD (Passenger in three-wheeled motor vehicle injured in collision with other motor vehicles in nontraffic accident, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V29
Motorcycle rider injured in other and unspecified transport accidents
V39.19XD
Passenger in three-wheeled motor vehicle injured in collision with other motor vehicles in nontraffic accident, subsequent encounter

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. V29 carries an Excludes1 note covering V39.19XD: “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

V29Motorcycle rider injured in other and unspecified transport accidentsV39.19XDPassenger in three-wheeled motor vehicle injured in collision with other motor vehicles in nontraffic accident, subsequent encounter
Billing statusNon-billable header

Report instead: V29.001A, V29.001D, V29.001S, V29.008A, V29.008D

Billable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionMotorcycle rider injured in other and unspecified transport accidents is a non-billable ICD-10-CM category code (V29).Passenger in three-wheeled motor vehicle injured in collision with other motor vehicles in nontraffic accident, subsequent encounter is a billable ICD-10-CM diagnosis code (V39.19D).
7th characterThe appropriate 7th character is to be added to each code from category V29The 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