Is V97.1 a billable ICD-10-CM code?

No. V97.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V97.1 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Air and space transport accidents (V95-V97).

V97.1

V97.1 — Person injured while boarding or alighting from aircraft

Non-billable headerICD-10-CM

V97.1 is a non-billable header ICD-10-CM code for person injured while boarding or alighting from aircraft. 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 V97

A: initial encounter
D: subsequent encounter
S: sequela

Other codes that can never be billed with V97.1

These codes carry an Excludes1 note pointing at V97.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V97.1 alone.

V97.0Occupant of aircraft injured in other specified air transport accidents
V97.0XXAOccupant of aircraft injured in other specified air transport accidents, initial encounter
V97.0XXDOccupant of aircraft injured in other specified air transport accidents, subsequent encounter
V97.0XXSOccupant of aircraft injured in other specified air transport accidents, sequela

Risk adjustment

V97.1 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.

How V97.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to V97.1.

Fall, falling›from, off, out of›aircraft NEC›while boarding or alighting
Fall, falling›in, on›aircraft NEC›while boarding or alighting
Accident›transport›aircraft NEC›occupant injured›while boarding or alighting
Accident›transport›aircraft NEC›person›while boarding or alighting aircraft

Code to one of these instead V97.1

3 child codes. Green means billable.

Related codes at this level

Codes that share V97. If V97.1 is not quite right, the correct code is usually one of these.

Questions about V97.1

Is V97.1 a billable ICD-10-CM code?: No. V97.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V97.1 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Air and space transport accidents (V95-V97).