V20 — Motorcycle rider injured in collision with pedestrian or animal
V20 is a non-billable header ICD-10-CM code for motorcycle rider injured in collision with pedestrian or animal. 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 V20
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- motorcycle rider collision with animal-drawn vehicle or animal being ridden (V26.-)
Other codes that can never be billed with V20
These codes carry an Excludes1 note pointing at V20. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V20 alone.
- V00.14Scooter (nonmotorized) accident
Risk adjustment
V20 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 V20
7 child codes. Green means billable.
- V20.0Motorcycle driver injured in collision with pedestrian or animal in nontraffic accident
- V20.1Motorcycle passenger injured in collision with pedestrian or animal in nontraffic accident
- V20.2Unspecified motorcycle rider injured in collision with pedestrian or animal in nontraffic accident
- V20.3Person boarding or alighting a motorcycle injured in collision with pedestrian or animal
- V20.4Motorcycle driver injured in collision with pedestrian or animal in traffic accident
- V20.5Motorcycle passenger injured in collision with pedestrian or animal in traffic accident
- V20.9Unspecified motorcycle rider injured in collision with pedestrian or animal in traffic accident
Questions about V20
- Is V20 a billable ICD-10-CM code?
- No. V20 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V20 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Motorcycle rider injured in transport accident (V20-V29).
- What cannot be coded together with V20?
- V20 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.