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V49.3XXD vs V79

V49.3XXD (Car occupant (driver) (passenger) injured in unspecified nontraffic accident, subsequent encounter) compared with V79 (Bus occupant 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. V49.3XXD carries an Excludes1 note covering V79: “motorcoach (V70-V79)”

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

V49.3XXDCar occupant (driver) (passenger) injured in unspecified nontraffic accident, subsequent encounterV79Bus occupant injured in other and unspecified transport accidents
Billing statusBillableNon-billable header

Report instead: V79.00XA, V79.00XD, V79.00XS, V79.09XA, V79.09XD

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionCar occupant (driver) (passenger) injured in unspecified nontraffic accident, subsequent encounter is a billable ICD-10-CM diagnosis code (V49.3D).Bus occupant injured in other and unspecified transport accidents is a non-billable ICD-10-CM category code (V79).
7th characterThe appropriate 7th character is to be added to each code from category V49The appropriate 7th character is to be added to each code from category V79
Includes
a four-wheeled motor vehicle designed primarily for carrying passengers
automobile (pulling a trailer or camper)
Car accident NOS, nontraffic
Car occupant injured in nontraffic accident NOS
motorcoach

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