V86.1
V86.1 — Passenger of special all-terrain or other off-road motor vehicle injured in traffic accident
Non-billable headerICD-10-CM
V86.1 is a non-billable header ICD-10-CM code for passenger of special all-terrain or other off-road motor vehicle injured in traffic 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 V86
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
V86.1 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 V86.1
7 child codes. Green means billable.
- V86.11Passenger of ambulance or fire engine injured in traffic accident
- V86.12Passenger of snowmobile injured in traffic accident
- V86.13Passenger of dune buggy injured in traffic accident
- V86.14Passenger of military vehicle injured in traffic accident
- V86.15Passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in traffic accident
- V86.16Passenger of dirt bike or motor/cross bike injured in traffic accident
- V86.19Passenger of other special all-terrain or other off-road motor vehicle injured in traffic accident
Related codes at this level
Codes that share V86. If V86.1 is not quite right, the correct code is usually one of these.
- V86.0Driver of special all-terrain or other off-road motor vehicle injured in traffic accident
- V86.2Person on outside of special all-terrain or other off-road motor vehicle injured in traffic accident
- V86.3Unspecified occupant of special all-terrain or other off-road motor vehicle injured in traffic accident
- V86.4Person injured while boarding or alighting from special all-terrain or other off-road motor vehicle
- V86.5Driver of special all-terrain or other off-road motor vehicle injured in nontraffic accident
- V86.6Passenger of special all-terrain or other off-road motor vehicle injured in nontraffic accident
- V86.7Person on outside of special all-terrain or other off-road motor vehicle injured in nontraffic accident
- V86.9Unspecified occupant of special all-terrain or other off-road motor vehicle injured in nontraffic accident
Questions about V86.1
- Is V86.1 a billable ICD-10-CM code?
- No. V86.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V86.1 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Other land transport accidents (V80-V89).