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V50 vs V86.64

V50 (Occupant of pick-up truck or van injured in collision with pedestrian or animal) compared with V86.64 (Passenger of military vehicle injured in nontraffic accident), 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 should not be reported together because V86.64’s tabular entry lists V50 under Excludes1.

Official rule
What is different?

The conditions named.V50 is “Occupant of pick-up truck or van injured in collision with pedestrian or animal”; V86.64 is “Passenger of military vehicle injured in nontraffic accident”.

Registry fact

Can these codes be reported together?

No.V86.64’s entry carries an Excludes1 note covering V50: “sport-utility vehicle (V50-V59)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.V86.64’s tabular entry: “sport-utility vehicle (V50-V59)”. The note covers V50.

Official ruleGuide: Excludes1 vs Excludes2

Is one a parent or header code?

Both are headers.Both are non-billable headers, and neither contains the other.

Registry fact

Nothing found in 3 other checks; 1 check does not apply
Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

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?

Excludes1 — generally not reported together

Excludes1 conflict

V86.64
Passenger of military vehicle injured in nontraffic accident
↔
V50
Occupant of pick-up truck or van injured in collision with pedestrian or animal

What we found

No — do not report together.V86.64 carries an Excludes1 note covering V50: “sport-utility vehicle (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).

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

An Excludes1 note means the two conditions are not ordinarily reported together for the same encounter, because the classification treats them as mutually exclusive forms of the same condition. The documented exception is when the two conditions are unrelated to each other.

Source / rule

CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Official guidance behind these answers

  • Section I.A.12.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    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.

Official descriptionDiffers
V50

Occupant of pick-up truck or van injured in collision with pedestrian or animal

V86.64

Passenger of military vehicle injured in nontraffic accident

StatusDiffers
V50
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: V50.0XXA, V50.0XXD, V50.0XXS, V50.1XXA, V50.1XXD

V86.64
Non-billable header

A header is not reported on a claim; a code beneath it is.

Report instead: V86.64XA, V86.64XD, V86.64XS

Excludes1Differs
V50
  • pick-up truck or van collision with animal-drawn vehicle or animal being ridden (V56.-)
  • heavy transport vehicle (V60-V69)
V86.64
  • special all-terrain vehicle in stationary use or maintenance (W31.-)
  • sport-utility vehicle (V50-V59)
  • three-wheeled motor vehicle designed for on-road use (V30-V39)
CategoryDiffers
V50

Is itself a category

V86.64

V86 Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident

ChapterSame for both

V00-Y99 — External Causes of Morbidity (V00-Y99)

IncludesDiffers
V50
  • 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)
  • truck
  • van
V86.64

None at this code

7th characterDiffers
V50
  • The appropriate 7th character is to be added to each code from category V50
V86.64
  • The appropriate 7th character is to be added to each code from category V86

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.

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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