Is V86.4 a billable ICD-10-CM code?

No. V86.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V86.4 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Other land transport accidents (V80-V89).

V86.4

V86.4 — Person injured while boarding or alighting from special all-terrain or other off-road motor vehicle

Non-billable headerICD-10-CM

V86.4 is a non-billable header ICD-10-CM code for person injured while boarding or alighting from special all-terrain or other off-road motor vehicle. 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

V86.4 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 V86.4

7 child codes. Green means billable.

Related codes at this level

Codes that share V86. If V86.4 is not quite right, the correct code is usually one of these.

Questions about V86.4

Is V86.4 a billable ICD-10-CM code?: No. V86.4 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V86.4 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Other land transport accidents (V80-V89).