Is V26.1 a billable ICD-10-CM code?

No. V26.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V26.1 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Motorcycle rider injured in transport accident (V20-V29).

V26.1

V26.1 — Motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic accident

Non-billable headerICD-10-CM

V26.1 is a non-billable header ICD-10-CM code for motorcycle passenger injured in collision with other nonmotor vehicle in nontraffic 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 V26

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

V26.1 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 V26.1

2 child codes. Green means billable.

Related codes at this level

Codes that share V26. If V26.1 is not quite right, the correct code is usually one of these.

Questions about V26.1

Is V26.1 a billable ICD-10-CM code?: No. V26.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V26.1 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Motorcycle rider injured in transport accident (V20-V29).