V49 vs V49.00XD
V49 (Car occupant injured in other and unspecified transport accidents) compared with V49.00XD (Driver injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter), from the official CMS tabular data.
Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources
Summary
These codes represent different levels of the same hierarchy: V49 is the non-billable header that contains V49.00XD, so only V49.00XD (or a sibling) is reported.
Registry fact- What is different?
The conditions named and billing status.V49 is “Car occupant injured in other and unspecified transport accidents”; V49.00XD is “Driver injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter”. V49 is a non-billable header; V49.00XD is billable.
Registry fact
- Can these codes be reported together?
Not as a pair.V49 is the non-billable header that contains V49.00XD. A header is not reported on a claim, so the choice is V49.00XD or a sibling that matches the documentation.
Registry fact
- Is one more specific?
Yes.V49.00XD is a subdivision of V49 in the tabular hierarchy, so it is the more specific of the two.
Registry fact
- Is one a parent or header code?
Yes.V49 is the non-billable header that contains V49.00XD. A header stands for the whole family beneath it and is not reported on a claim.
Registry fact
Nothing found in 4 other checks
- Is there an Excludes1 relationship?
None.Neither entry carries an Excludes1 note that names the other code. V49 carries 6 Excludes1 notes and V49.00XD carries 6 Excludes1 notes covering other codes; the side-by-side table quotes them.
Official rule
- Is there an Excludes2 relationship?
None.Neither entry carries an Excludes2 note that names the other code.
Official rule
- Are there sequencing instructions?
None.Neither entry carries a Code First or Use Additional Code note that names the other.
Official rule
- Are there other coding relationships?
None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.
MedCoder-derived
Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels
Can these codes be reported together?
Not as a pair — V49 is not reportable. V49 is the non-billable category that contains V49.00XD.
A header stands for the whole family of codes beneath it and is not reported on a claim, so the choice is V49.00XD or a sibling that matches the documentation. No Excludes1/Excludes2 relationship exists between these codes in the official tabular list.
Official guidance behind these answers
Section I.B.2 — Level of Detail in Coding · applies to: V49 and V49.00XD
Diagnosis codes are to be used and reported at their highest number of characters available and to the highest level of specificity documented in the medical record. ICD-10-CM diagnosis codes are composed of codes with 3, 4, 5, 6 or 7 characters. Codes with three characters are included in ICD-10-CM as the heading of a category of codes that may be further subdivided by the use of fourth and/or fifth characters and/or sixth characters, which provide greater detail. A three-character code is to be used only if it is not further subdivided. A code is invalid if it has not been coded to the full number of characters required for that code, including the 7th character, if applicable.
ICD-10-CM Official Guidelines FY2027
Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum
Side by side
Similar descriptions do not make codes interchangeable. The documentation and the official instructions decide which code applies.
Car occupant injured in other and unspecified transport accidents
Driver injured in collision with unspecified motor vehicles in nontraffic accident, subsequent encounter
- bus (V50-V59)
- minibus (V50-V59)
- minivan (V50-V59)
- motorcoach (V70-V79)
- pick-up truck (V50-V59)
- sport utility vehicle (SUV) (V50-V59)
Is itself a category
V49 Car occupant injured in other and unspecified transport accidents
V00-Y99 — External Causes of Morbidity (V00-Y99)
- a four-wheeled motor vehicle designed primarily for carrying passengers
- automobile (pulling a trailer or camper)
- The appropriate 7th character is to be added to each code from category V49
No Excludes2, Code first, Use additional code and Code also note at either code.
Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on. In a row that differs, each code’s own notes are listed under it, and the notes every code shares are listed once beneath them.
Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources