Is V49 a billable ICD-10-CM code?

No. V49 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V49 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Car occupant injured in transport accident (V40-V49).

V49

V49 — Car occupant injured in other and unspecified transport accidents

Non-billable headerICD-10-CM

V49 is a non-billable header ICD-10-CM code for car occupant injured in other and unspecified transport accidents. 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 V49

A: initial encounter
D: subsequent encounter
S: sequela

Other codes that can never be billed with V49

These codes carry an Excludes1 note pointing at V49. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V49 alone.

V44Car occupant injured in collision with heavy transport vehicle or bus
Y36Operations of war
Y37Military operations

Risk adjustment

V49 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 V49

9 child codes. Green means billable.

Questions about V49

Is V49 a billable ICD-10-CM code?: No. V49 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V49 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Car occupant injured in transport accident (V40-V49).