V86
V86 — Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
Non-billable headerICD-10-CM
V86 is a non-billable header ICD-10-CM code for occupant of special all-terrain or other off-road motor vehicle, injured in transport accident. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category V86
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
V86 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead V86
9 child codes. Green means billable.
- V86.0Driver of special all-terrain or other off-road motor vehicle injured in traffic accident
- V86.1Passenger of special all-terrain or other off-road motor vehicle injured in traffic accident
- V86.2Person on outside of special all-terrain or other off-road motor vehicle injured in traffic accident
- V86.3Unspecified occupant of special all-terrain or other off-road motor vehicle injured in traffic accident
- V86.4Person injured while boarding or alighting from special all-terrain or other off-road motor vehicle
- V86.5Driver of special all-terrain or other off-road motor vehicle injured in nontraffic accident
- V86.6Passenger of special all-terrain or other off-road motor vehicle injured in nontraffic accident
- V86.7Person on outside of special all-terrain or other off-road motor vehicle injured in nontraffic accident
- V86.9Unspecified occupant of special all-terrain or other off-road motor vehicle injured in nontraffic accident
Questions about V86
- Is V86 a billable ICD-10-CM code?
- No. V86 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V86 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Other land transport accidents (V80-V89).
- What cannot be coded together with V86?
- V86 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.