V49.81 vs Y36
V49.81 (Car occupant (driver) (passenger) injured in transport accident with military vehicle) compared with Y36 (Operations of war), 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. Y36 carries an Excludes1 note covering V49.81: “military vehicles involved in transport accidents with non-military vehicle during peacetime (V09.01, V09.21, V19.81, V29.818, V39.81, V49.81, V59.81, V69.81, V79.81)”
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
| V49.81Car occupant (driver) (passenger) injured in transport accident with military vehicle | Y36Operations of war | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header Report instead: Y36.000A, Y36.000D, Y36.000S, Y36.001A, Y36.001D |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Car occupant (driver) (passenger) injured in transport accident with military vehicle is a non-billable ICD-10-CM category code (V49.81). | Operations of war is a non-billable ICD-10-CM category code (Y36). |
| 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 Y36 |
| Includes | a four-wheeled motor vehicle designed primarily for carrying passengers automobile (pulling a trailer or camper) | injuries to military personnel and civilians caused by war, civil insurrection, and peacekeeping missions |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources