V50 vs V86.69XA
V50 (Occupant of pick-up truck or van injured in collision with pedestrian or animal) compared with V86.69XA (Passenger of other special all-terrain or other off-road motor vehicle injured in nontraffic accident, initial encounter), 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. V86.69XA 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).
Side by side
| V50Occupant of pick-up truck or van injured in collision with pedestrian or animal | V86.69XAPassenger of other special all-terrain or other off-road motor vehicle injured in nontraffic accident, initial encounter | |
|---|---|---|
| Billing status | Non-billable header Report instead: V50.0XXA, V50.0XXD, V50.0XXS, V50.1XXA, V50.1XXD | Billable |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Occupant of pick-up truck or van injured in collision with pedestrian or animal is a non-billable ICD-10-CM category code (V50). | Passenger of other special all-terrain or other off-road motor vehicle injured in nontraffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V86.69A). |
| 7th character | The appropriate 7th character is to be added to each code from category V50 | The appropriate 7th character is to be added to each code from category V86 |
| Includes | 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) | Passenger of go cart injured in nontraffic accident Passenger of golf cart injured in nontraffic accident |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources