V86.95XA — Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, initial encounter
Is V86.95XA billable?
Yes, but V86.95XA is an unspecified code. V86.95XA is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, V86.95XA is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting V86.95XA — the more specific alternatives are listed below.
More specific alternatives
- V86.01XADriver of ambulance or fire engine injured in traffic accident, initial encounter
- V86.11XAPassenger of ambulance or fire engine injured in traffic accident, initial encounter
- V86.21XAPerson on outside of ambulance or fire engine injured in traffic accident, initial encounter
- V86.41XAPerson injured while boarding or alighting from ambulance or fire engine, initial encounter
- V86.51XADriver of ambulance or fire engine injured in nontraffic accident, initial encounter
- V86.61XAPassenger of ambulance or fire engine injured in nontraffic accident, initial encounter
- V86.71XAPerson on outside of ambulance or fire engine injured in nontraffic accident, initial encounter
V86.95XA at a glance
| Code | V86.95XA |
|---|---|
| Description | Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in V86.95XA?
In V86.95XA, the 7th character A means initial encounter. The 7th character is required for V86.95XA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
How is V86.95XA listed in the External Cause Index?
The External Cause of Injuries Index lists these routes under V86.95, the nearest indexed parent of V86.95XA. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.
- Accident › transport › all-terrain vehicle occupant (to)
Excludes1 — never code together — inherited from V86
The conditions below can never be reported together with V86.95XA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
How long has V86.95XA existed?
V86.95XA first appears in FY2018 (FY2017 is not available, so it may have appeared then).
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.