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V54.9XXA vs V59.81

V54.9XXA (Unspecified occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter) compared with V59.81 (Occupant (driver) (passenger) of pick-up truck or van injured in transport accident with military vehicle), 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. V54.9XXA carries an Excludes1 note covering V59.81: “occupant of pick-up truck or van injured in collision with military vehicle (V59.81)”

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

V54.9XXAUnspecified occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, initial encounterV59.81Occupant (driver) (passenger) of pick-up truck or van injured in transport accident with military vehicle
Billing statusBillableNon-billable header

Report instead: V59.81XA, V59.81XD, V59.81XS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionUnspecified occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus in traffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V54.9A).Occupant (driver) (passenger) of pick-up truck or van injured in transport accident with military vehicle is a non-billable ICD-10-CM category code (V59.81).
7th characterThe appropriate 7th character is to be added to each code from category V54The appropriate 7th character is to be added to each code from category V59
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)
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)

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