V64 vs V69.81
V64 (Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus) compared with V69.81 (Occupant (driver) (passenger) of heavy transport vehicle injured in transport accidents 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. V64 carries an Excludes1 note covering V69.81: “occupant of heavy transport vehicle injured in collision with military vehicle (V69.81)”
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
| V64Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus | V69.81Occupant (driver) (passenger) of heavy transport vehicle injured in transport accidents with military vehicle | |
|---|---|---|
| Billing status | Non-billable header Report instead: V64.0XXA, V64.0XXD, V64.0XXS, V64.1XXA, V64.1XXD | Non-billable header |
| Classification | V00-Y99 — External Causes of Morbidity (V00-Y99) | V00-Y99 — External Causes of Morbidity (V00-Y99) |
| Definition | Occupant of heavy transport vehicle injured in collision with heavy transport vehicle or bus is a non-billable ICD-10-CM category code (V64). | Occupant (driver) (passenger) of heavy transport vehicle injured in transport accidents with military vehicle is a non-billable ICD-10-CM category code (V69.81). |
| 7th character | The appropriate 7th character is to be added to each code from category V64 | The appropriate 7th character is to be added to each code from category V69 |
| Includes | 18 wheeler armored car panel truck | 18 wheeler armored car panel truck |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources