V39.20XS vs V86

V39.20XS (Unspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in nontraffic accident, sequela) 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.

Relationship

Conflict

Excludes1 conflict

V39.20XS

Unspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in nontraffic accident, sequela

↔

V86

Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident

Not coded here — these two are mutually exclusive.

“all-terrain vehicles (V86.-)”

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. V39.20XS 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).

Side by side

	V39.20XSUnspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in nontraffic accident, sequela	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	Unspecified occupant of three-wheeled motor vehicle injured in collision with unspecified motor vehicles in nontraffic accident, sequela is a billable ICD-10-CM diagnosis code (V39.20S).	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 V39	The appropriate 7th character is to be added to each code from category V86
Includes	motorized tricycle motorized rickshaw three-wheeled motor car Collision NOS involving three-wheeled motor vehicle, nontraffic	—

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources