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V43.21XS vs V50

V43.21XS (Person on outside of car injured in collision with sport utility vehicle in nontraffic accident, sequela) compared with V50 (Occupant of pick-up truck or van injured in collision with pedestrian or animal), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V43.21XS
Person on outside of car injured in collision with sport utility vehicle in nontraffic accident, sequela
↔
V50
Occupant of pick-up truck or van injured in collision with pedestrian or animal

Not coded here — these two are mutually exclusive.

“bus (V50-V59)”

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. V43.21XS carries an Excludes1 note covering V50: “bus (V50-V59)”

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

V43.21XSPerson on outside of car injured in collision with sport utility vehicle in nontraffic accident, sequelaV50Occupant of pick-up truck or van injured in collision with pedestrian or animal
Billing statusBillableNon-billable header

Report instead: V50.0XXA, V50.0XXD, V50.0XXS, V50.1XXA, V50.1XXD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionPerson on outside of car injured in collision with sport utility vehicle in nontraffic accident, sequela is a billable ICD-10-CM diagnosis code (V43.21S).Occupant of pick-up truck or van injured in collision with pedestrian or animal is a non-billable ICD-10-CM category code (V50).
7th characterThe appropriate 7th character is to be added to each code from category V43The appropriate 7th character is to be added to each code from category V50
Includes
a four-wheeled motor vehicle designed primarily for carrying passengers
automobile (pulling a trailer or camper)
a four or six wheel motor vehicle designed primarily for carrying passengers and property but weighing less than the local limit for classification as a heavy goods vehicle
minibus
minivan
sport utility vehicle (SUV)
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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