Is V20.49XS a billable ICD-10-CM code?

Yes. V20.49XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does V20.49XS 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 V20.49XS?

V20.49XS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above V20.49XS (V20) and apply to it just the same.

V20.49XS

V20.49XS — Other motorcycle driver injured in collision with pedestrian or animal in traffic accident, sequela

Billable / specific codeICD-10-CMPOA exempt

V20.49XS is a billable, specific ICD-10-CM code for other motorcycle driver injured in collision with pedestrian or animal in traffic accident, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category V20

A: initial encounter
D: subsequent encounter
S: sequela

Excludes1 inherited from the categories above V20.49XS

These are not written on V20.49XS, but they bind it: a note on a category applies to every code beneath it. Billing V20.49XS with anything listed here is a denial.

Written on V20 — Motorcycle rider injured in collision with pedestrian or animal

motorcycle rider collision with animal-drawn vehicle or animal being ridden (V26.-)

Risk adjustment

V20.49XS 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.

Medicare coverage

V20.49XS is named in 1 Medicare coverage policy — 1 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A59186Billing and Coding: Magnesium

Code history

V20.49XS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share V20.49. If V20.49XS is not quite right, the correct code is usually one of these.

Questions about V20.49XS

Is V20.49XS a billable ICD-10-CM code?: Yes. V20.49XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does V20.49XS 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 V20.49XS?: V20.49XS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above V20.49XS (V20) and apply to it just the same.