V59.69XS ICD-10-CM Code: Unspecified occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident, sequela
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Coding at a Glance
- 7th character
- Required — see the character table on this page
- Tabular directives
- 6 inclusion terms · 1 Excludes1
Coding instructions
Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for V59.69XS in the official ICD-10-CM tabular list, quoted as published.
Notes without a marker are published on V59.69XS itself; “inherited from” names the category or block whose note applies here.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 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
Source: inherited from V50-V59
Excludes1 — Not Coded Here
Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
- heavy transport vehicle (V60-V69) Compare V59.69XS vs V60 →
Source: inherited from V50-V59
7th Character Guide
"The appropriate 7th character is to be added to each code from category V59"
- A — initial encounter
- D — subsequent encounter
- S — sequela (this page’s code)
How the encounter character is assigned. “Initial encounter” means the patient is receiving active treatment for the condition — it is not limited to the first visit, and a different or new provider giving active treatment still assigns it. “Subsequent encounter” covers care during the healing or recovery phase after active treatment. “Sequela” is for complications or conditions that arise as a direct result of the original condition.
ICD-10-CM Official Guidelines for Coding and Reporting, Section I.C.19.a (paraphrased by MedCoder).
Variant codes in this family
Character meanings are CMS's official 7th-character extensions for this family, as carried in each variant code's official description; variant codes are registry rows. The explanation of how the encounter character is assigned is MedCoder editorial, distinct from the official content above it.
Code Overview
MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.
Verify Before Coding
- Principal-diagnosis restriction. External cause of morbidity codes (V, W, X and Y) describe the circumstance that caused an injury, not the condition treated. The Medicare Code Editor rejects them as a principal diagnosis; sequence the injury or condition first and report this code as secondary.
From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.
Relationships & Classification
Other codes that name V59.69XS or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.
Referenced by 23 Excludes1 notes: V40 — Car occupant injured in collision with pedestrian or animal (via V59.-), V40-V49 — Car occupant injured in transport accident (V40-V49) (via V59.-), V41 — Car occupant injured in collision with pedal cycle (via V59.-), V42 — Car occupant injured in collision with two- or three-wheeled motor vehicle (via V59.-), V43 — Car occupant injured in collision with car, pick-up truck or van (via V59.-), V44 — Car occupant injured in collision with heavy transport vehicle or bus (via V59.-), V45 — Car occupant injured in collision with railway train or railway vehicle (via V59.-), V46 — Car occupant injured in collision with other nonmotor vehicle (via V59.-), V47 — Car occupant injured in collision with fixed or stationary object (via V59.-), V48 — Car occupant injured in noncollision transport accident (via V59.-), V49 — Car occupant injured in other and unspecified transport accidents (via V59.-), V70 — Bus occupant injured in collision with pedestrian or animal (via V59.-), V70-V79 — Bus occupant injured in transport accident (V70-V79) (via V59.-), V71 — Bus occupant injured in collision with pedal cycle (via V59.-), V72 — Bus occupant injured in collision with two- or three-wheeled motor vehicle (via V59.-), V73 — Bus occupant injured in collision with car, pick-up truck or van (via V59.-), V74 — Bus occupant injured in collision with heavy transport vehicle or bus (via V59.-), V75 — Bus occupant injured in collision with railway train or railway vehicle (via V59.-), V76 — Bus occupant injured in collision with other nonmotor vehicle (via V59.-), V77 — Bus occupant injured in collision with fixed or stationary object (via V59.-), +3 more.
These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.
Clinical classification (AHRQ CCSR):EXT030 — External cause codes: sequela.
Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.
Related Codes
Same clinical category (CCSR)
AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (External cause codes: sequela).
Contextual Map
Every relationship of V59.69XS in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.
Hierarchy
- V00-Y99 — Chapter 20: External Causes of Morbidity (V00-Y99) (V00-Y99)[Hierarchy]
- V50-V59 — Occupant of pick-up truck or van injured in transport accident[Hierarchy]
Referenced by Excludes1 notes (23)
- V40 — Car occupant injured in collision with pedestrian or animal[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V40 together
- V40-V49 — Car occupant injured in transport accident (V40-V49)[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V40-V49 together
- V41 — Car occupant injured in collision with pedal cycle[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V41 together
- V42 — Car occupant injured in collision with two- or three-wheeled motor vehicle[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V42 together
- V43 — Car occupant injured in collision with car, pick-up truck or van[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V43 together
- V44 — Car occupant injured in collision with heavy transport vehicle or bus[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V44 together
- V45 — Car occupant injured in collision with railway train or railway vehicle[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V45 together
- V46 — Car occupant injured in collision with other nonmotor vehicle[Excludes1](via V59.-): “bus (V50-V59)” · Check V59.69XS + V46 together
- and 15 more
Clinical classification (CCSR)
Nearest codes (40)
- V59 — Occupant of pick-up truck or van injured in other and unspecified transport accidents[Sibling]
- V59.3XXS — Occupant (driver) (passenger) of pick-up truck or van injured in unspecified nontraffic accident, sequela[Sibling]
- V59.4 — Driver of pick-up truck or van injured in collision with other and unspecified motor vehicles in traffic accident[Sibling]
- V59.40 — Driver of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident[Sibling]
- V59.40XA — Driver of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, initial encounter[Sibling]
- V59.40XD — Driver of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter[Sibling]
- V59.40XS — Driver of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, sequela[Sibling]
- V59.49 — Driver of pick-up truck or van injured in collision with other motor vehicles in traffic accident[Sibling]
- and 32 more
Change history
- FY2016 — In the code set at ICD-10-CM adoption [Change history]
Common coding questions
Does V59.69XS require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V59.
Sources for this page
Every coding fact on this page is read from the datasets below. Nothing is AI-generated; MedCoder-derived relationships and editorial are labelled where they appear.
- Code, title, tabular notes and index terms
- CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025
- Claim edits
- CMS Definitions of Medicare Code Edits — v43.1 (April 2026)
- Change history and date-of-service validity
- CMS ICD-10-CM release addenda, ingested release by release into the change ledger
- Comparisons, relationships and the contextual map MedCoder-derived
- Derived by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Change history
- FY2016 — October 1, 2015In the code set at ICD-10-CM adoptionUnspecified occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident, sequela
No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V59.69XS in its code family, with their registry titles.
- V59.60XD — Unspecified occupant of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, subsequent encounter
- V59.60XS — Unspecified occupant of pick-up truck or van injured in collision with unspecified motor vehicles in traffic accident, sequela
- V59.69 — Unspecified occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident
- V59.69XA — Unspecified occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident, initial encounter
- V59.69XD — Unspecified occupant of pick-up truck or van injured in collision with other motor vehicles in traffic accident, subsequent encounter
- V59.8 — Occupant (driver) (passenger) of pick-up truck or van injured in other specified transport accidents
- V59.81 — Occupant (driver) (passenger) of pick-up truck or van injured in transport accident with military vehicle
- V59.81XA — Occupant (driver) (passenger) of pick-up truck or van injured in transport accident with military vehicle, initial encounter
- V59.81XD — Occupant (driver) (passenger) of pick-up truck or van injured in transport accident with military vehicle, subsequent encounter
- V59.81XS — Occupant (driver) (passenger) of pick-up truck or van injured in transport accident with military vehicle, sequela