V85 — Occupant of special construction vehicle injured in transport accident
V85 is a non-billable header ICD-10-CM code for occupant of special construction 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 V85
- 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.
Includes
Conditions this code covers.
- bulldozer
- digger
- dump truck
- earth-leveller
- mechanical shovel
- road-roller
Other codes that can never be billed with V85
These codes carry an Excludes1 note pointing at V85. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V85 alone.
- V83Occupant of special vehicle mainly used on industrial premises injured in transport accident
Risk adjustment
V85 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 V85
9 child codes. Green means billable.
- V85.0Driver of special construction vehicle injured in traffic accident
- V85.1Passenger of special construction vehicle injured in traffic accident
- V85.2Person on outside of special construction vehicle injured in traffic accident
- V85.3Unspecified occupant of special construction vehicle injured in traffic accident
- V85.4Person injured while boarding or alighting from special construction vehicle
- V85.5Driver of special construction vehicle injured in nontraffic accident
- V85.6Passenger of special construction vehicle injured in nontraffic accident
- V85.7Person on outside of special construction vehicle injured in nontraffic accident
- V85.9Unspecified occupant of special construction vehicle injured in nontraffic accident
Questions about V85
- Is V85 a billable ICD-10-CM code?
- No. V85 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V85 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 V85?
- V85 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.