V38.7XXA vs V86
V38.7XXA (Person on outside of three-wheeled motor vehicle injured in noncollision transport accident in traffic 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. V38.7XXA 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. V38.7XXA 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
| V38.7XXAPerson on outside of three-wheeled motor vehicle injured in noncollision transport accident in traffic accident, initial encounter | V86Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: V86.01XA, V86.01XD, V86.01XS, V86.02XA, V86.02XD |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Person on outside of three-wheeled motor vehicle injured in noncollision transport accident in traffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V38.7A). | 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 character | The appropriate 7th character is to be added to each code from category V38 | The appropriate 7th character is to be added to each code from category V86 |
| Includes | fall or thrown from three-wheeled motor vehicle overturning of three-wheeled motor vehicle NOS overturning of three-wheeled motor vehicle without collision motorized tricycle | — |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources