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ICD-10 Guide
ICD-10 CodesChapter 20: External causes of morbidityV86

V86

Non-billable

Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident

Chapter 20:External causes of morbidity

BILLABLE STATUSNo
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 V86 is a used to indicate a diagnosis of occupant of special all-terrain or other off-road motor vehicle, injured in transport accident.

Key Diagnostic Point:

The ICD-10 Level 1 Category code V86 pertains to individuals who are occupants of special all-terrain or other off-road motor vehicles and have sustained injuries as a result of transport accidents. This category encompasses a range of potential injuries, including but not limited to fractures, soft tissue injuries, and traumatic brain injuries that may occur during such incidents. The clinical significance of this code lies in its ability to capture data on the specific circumstances surrounding the injuries, which can aid in understanding the risks associated with off-road vehicle use and inform preventive measures and safety regulations. It is essential for healthcare providers to accurately document the nature of the accident and the type of vehicle involved to ensure appropriate coding and billing practices are followed.

  • Usage guidelines for V86 codes recommend that they be utilized when the patient has been injured while being an occupant of an off-road vehicle, such as ATVs or dune buggies. This specificity helps in tracking injury patterns and can influence policy-making regarding safety standards for these vehicles. Accurate coding is crucial not only for reimbursement purposes but also for contributing to broader public health data that can lead to improved safety measures and education for off-road vehicle users. Providers should ensure that the documentation reflects the circumstances of the accident and the type of vehicle involved to support the use of this code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Specificity of vehicle type
  • Nature of injuries sustained
  • Context of the transport accident

Audit Risk Factors

  • Inadequate documentation of vehicle type
  • Failure to specify the nature of the accident
  • Misclassification of injury severity

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Trauma Surgery

Documentation Requirements

Standard ICD-10-CM documentation requirements apply

Common Clinical Scenarios

Various clinical presentations within this specialty area

Billing Considerations

Follow specialty-specific billing guidelines

Related CPT Codes

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

CPT Code

Clinical Scenario

Documentation Requirements

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The clinical impact of the V86 code category is significant, as it helps healthcare providers track and analyze injury patterns associated with off-road vehicle use. This data can inform public health initiatives aimed at reducing the incidence of such injuries through education and improved safety measures. Moreover, understanding the demographics and circumstances surrounding these accidents can aid in the development of targeted interventions to enhance safety for off-road vehicle users.
Administratively, the accurate coding of V86 can influence quality measures and population health metrics. As healthcare systems increasingly focus on data-driven approaches to improve patient outcomes, the information captured by V86 codes can contribute to broader healthcare trends, such as the need for enhanced safety regulations and the promotion of responsible off-road vehicle use. Overall, the implications of this code extend beyond individual patient care, impacting community health and safety initiatives.

ICD-9 vs ICD-10

The clinical impact of the V86 code category is significant, as it helps healthcare providers track and analyze injury patterns associated with off-road vehicle use. This data can inform public health initiatives aimed at reducing the incidence of such injuries through education and improved safety measures. Moreover, understanding the demographics and circumstances surrounding these accidents can aid in the development of targeted interventions to enhance safety for off-road vehicle users. Administratively, the accurate coding of V86 can influence quality measures and population health metrics. As healthcare systems increasingly focus on data-driven approaches to improve patient outcomes, the information captured by V86 codes can contribute to broader healthcare trends, such as the need for enhanced safety regulations and the promotion of responsible off-road vehicle use. Overall, the implications of this code extend beyond individual patient care, impacting community health and safety initiatives.

Reimbursement & Billing Impact

reimbursement rates. It is also important to include any associated CPT codes for the services rendered, such as evaluation and management codes for emergency visits or surgical procedures. Proper coding can facilitate timely reimbursement and reduce the likelihood of claim denials.

Resources

Clinical References

  • •
    Official ICD-10 Guidelines for V86

Coding & Billing References

  • •
    Official ICD-10 Guidelines for V86

Frequently Asked Questions

What conditions are included in V86?

V86 covers injuries sustained by occupants of special all-terrain or off-road vehicles during transport accidents, including fractures, lacerations, and concussions.

When should I use V86 codes?

V86 codes should be used when a patient presents with injuries resulting from an accident involving an off-road vehicle, ensuring that the type of vehicle and nature of the accident are clearly documented.

What documentation is required for V86?

Documentation should include details about the accident, the type of off-road vehicle involved, the nature of the injuries sustained, and any relevant medical history.