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V33.1XXA vs V86

V33.1XXA (Passenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter) compared with V86 (Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident), 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. V33.1XXA carries an Excludes1 note covering V86: “all-terrain vehicles (V86.-)”

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. V33.1XXA carries an Excludes1 note covering V86: “vehicle designed primarily for off-road use (V86.-)”

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

V33.1XXAPassenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounterV86Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
Billing statusBillableNon-billable header

Report instead: V86.01XA, V86.01XD, V86.01XS, V86.02XA, V86.02XD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionPassenger in three-wheeled motor vehicle injured in collision with car, pick-up truck or van in nontraffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V33.1A).Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident is a non-billable ICD-10-CM category code (V86).
7th characterThe appropriate 7th character is to be added to each code from category V33The appropriate 7th character is to be added to each code from category V86
Includes
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