Relationship
Conflict
Excludes1 conflict
V39.50XSPassenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, sequela
↔
V86Occupant 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
Conflict
Excludes1 conflict
V39.50XSPassenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, sequela
↔
V86Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
Not coded here — these two are mutually exclusive.
“vehicle designed primarily for off-road use (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
Conflict
Excludes1 conflict
V86Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
↔
V39.50XSPassenger in three-wheeled motor vehicle injured in collision with unspecified motor vehicles in traffic accident, sequela
Not coded here — these two are mutually exclusive.
“three-wheeled motor vehicle designed for on-road use (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. V39.50XS 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. V39.50XS 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).
No — do not report together. V86 carries an Excludes1 note covering V39.50XS: “three-wheeled motor vehicle designed for on-road use (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).
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice;
verify sequencing rules for the encounter.
All data sources