V43.22XA vs V59
V43.22XA (Person on outside of car injured in collision with other type car in nontraffic accident, initial encounter) compared with V59 (Occupant of pick-up truck or van injured in other and unspecified transport accidents), 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. V43.22XA carries an Excludes1 note covering V59: “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).
No — do not report together. V43.22XA carries an Excludes1 note covering V59: “minibus (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).
No — do not report together. V43.22XA carries an Excludes1 note covering V59: “minivan (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).
No — do not report together. V43.22XA carries an Excludes1 note covering V59: “pick-up truck (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).
No — do not report together. V43.22XA carries an Excludes1 note covering V59: “sport utility vehicle (SUV) (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
| V43.22XAPerson on outside of car injured in collision with other type car in nontraffic accident, initial encounter | V59Occupant of pick-up truck or van injured in other and unspecified transport accidents | |
|---|---|---|
| Billing status | Billable | Non-billable header Report instead: V59.00XA, V59.00XD, V59.00XS, V59.09XA, V59.09XD |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Person on outside of car injured in collision with other type car in nontraffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V43.22A). | Occupant of pick-up truck or van injured in other and unspecified transport accidents is a non-billable ICD-10-CM category code (V59). |
| 7th character | The appropriate 7th character is to be added to each code from category V43 | The appropriate 7th character is to be added to each code from category V59 |
| 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) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources