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V69.59XA ICD-10-CM Code: Passenger in heavy transport vehicle injured in collision with other motor vehicles in traffic accident, initial encounter

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
3 inclusion terms · 2 Excludes1

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for V69.59XA in the official ICD-10-CM tabular list, quoted as published.

Notes without a marker are published on V69.59XA 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.

  • 18 wheeler
  • armored car
  • panel truck

Source: inherited from V60-V69

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).

  • bus
  • motorcoach

Source: inherited from V60-V69

7th Character Guide

"The appropriate 7th character is to be added to each code from category V69"

  • A — initial encounter (this page’s code)
  • D — subsequent encounter
  • S — sequela

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

V69.59XA, V69.59XD, V69.59XS

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

Passenger in heavy transport vehicle injured in collision with other motor vehicles in traffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V69.59XA).

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 V69.59XA 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 11 Excludes1 notes: V50 — Occupant of pick-up truck or van injured in collision with pedestrian or animal (via V69.-), V50-V59 — Occupant of pick-up truck or van injured in transport accident (V50-V59) (via V69.-), V51 — Occupant of pick-up truck or van injured in collision with pedal cycle (via V69.-), V52 — Occupant of pick-up truck or van injured in collision with two- or three-wheeled motor vehicle (via V69.-), V53 — Occupant of pick-up truck or van injured in collision with car, pick-up truck or van (via V69.-), V54 — Occupant of pick-up truck or van injured in collision with heavy transport vehicle or bus (via V69.-), V55 — Occupant of pick-up truck or van injured in collision with railway train or railway vehicle (via V69.-), V56 — Occupant of pick-up truck or van injured in collision with other nonmotor vehicle (via V69.-), V57 — Occupant of pick-up truck or van injured in collision with fixed or stationary object (via V69.-), V58 — Occupant of pick-up truck or van injured in noncollision transport accident (via V69.-), V59 — Occupant of pick-up truck or van injured in other and unspecified transport accidents (via V69.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Clinical classification (AHRQ CCSR):EXT007 — External cause codes: motor vehicle traffic (MVT); initial encounter; EXT020 — External cause codes: intent of injury, accidental/unintentional.

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 categories (External cause codes: motor vehicle traffic (MVT); initial encounter, External cause codes: intent of injury, accidental/unintentional).

+2316 more

Contextual Map

Every relationship of V69.59XA 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.

Run V69.59XA with these 8 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes (11)

Clinical classification (CCSR)

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Common coding questions

Does V69.59XA require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category V69.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Passenger in heavy transport vehicle injured in collision with other motor vehicles in traffic accident, initial encounter

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 V69.59XA in its code family, with their registry titles.

View all codes in the V69 family