V49.59XD vs V49.59XS
V49.59XD (Passenger injured in collision with other motor vehicles in traffic accident, subsequent encounter) compared with V49.59XS (Passenger injured in collision with other motor vehicles in traffic accident, sequela), from the official CMS tabular data.
Summary
No tabular note links these codes. Both belong to category V49, and nothing in the tabular list prevents reporting each when it is documented.
Registry fact- What is different?
Title wording.The titles share “Passenger injured in collision with other motor vehicles in traffic accident”; V49.59XD says “subsequent encounter” where V49.59XS says “sequela”.
Registry fact
- Can these codes be reported together?
No instruction prevents it.No note in either entry names the other. Both belong to category V49; each may be reported when its own documentation is present.
Registry fact
- Is there an Excludes1 relationship?
None.Neither entry carries an Excludes1 note that names the other code. V49.59XD carries 6 Excludes1 notes and V49.59XS 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
- Is one more specific?
No.Neither is a subdivision of the other, and neither title is the unspecified form; they describe different conditions within category V49.
Registry fact
- Is one a parent or header code?
No.Both are billable codes, and neither contains the other.
Registry fact
- 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?
Yes, when each is documented. V49.59XD and V49.59XS both belong to category V49.
No Excludes1/Excludes2 relationship exists between these codes in the official tabular list. The code titles state what each one covers, and the documentation decides which applies.
Side by side
| V49.59XDPassenger injured in collision with other motor vehicles in traffic accident, subsequent encounter | V49.59XSPassenger injured in collision with other motor vehicles in traffic accident, sequela | |
|---|---|---|
| Billing status | Billable | Billable |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Passenger injured in collision with other motor vehicles in traffic accident, subsequent encounter is a billable ICD-10-CM diagnosis code (V49.59XD). | Passenger injured in collision with other motor vehicles in traffic accident, sequela is a billable ICD-10-CM diagnosis code (V49.59XS). |
| 7th character | The appropriate 7th character is to be added to each code from category V49 | The appropriate 7th character is to be added to each code from category V49 |
| Includes | a four-wheeled motor vehicle designed primarily for carrying passengers automobile (pulling a trailer or camper) | a four-wheeled motor vehicle designed primarily for carrying passengers automobile (pulling a trailer or camper) |
| Excludes1 | bus (V50-V59) minibus (V50-V59) minivan (V50-V59) motorcoach (V70-V79) pick-up truck (V50-V59) sport utility vehicle (SUV) (V50-V59) | bus (V50-V59) minibus (V50-V59) minivan (V50-V59) motorcoach (V70-V79) pick-up truck (V50-V59) sport utility vehicle (SUV) (V50-V59) |
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.
Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources