2024 ICD-10-CM Diagnosis Code V86.95XA

Unspecified occupant of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, initial encounter

ICD-10-CM Code:
V86.95XA
ICD-10 Code for:
Occup of 3- or 4- wheeled ATV injured nontraf, init
Is Billable?
Yes - Valid for Submission
Code Navigator:

Code Classification

  • External causes of morbidity and mortality
    (V01–Y99)
    • Transport accidents
      (V00-V99)
      • Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
        (V86)

V86.95XA is a billable diagnosis code used to specify a medical diagnosis of unspecified occupant of 3- or 4- wheeled all-terrain vehicle (atv) injured in nontraffic accident, initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.

V86.95XA is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like unspecified occupant of 3- or 4- wheeled all-terrain vehicle (atv) injured in nontraffic accident. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Unspecified diagnosis codes like V86.95XA are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, accidental/unintentionalEXT020X - Not applicable.X - Not applicable.
External cause codes: transport; not MVT; initial encounterEXT010X - Not applicable.X - Not applicable.

Present on Admission (POA)

V86.95XA is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.

CMS POA Indicator Options and Definitions

POA IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Replacement Code

V8695XA replaces the following previously assigned ICD-10-CM code(s):

  • V86.99XA - Occup of sp off-rd mv injured in nontraffic accident, init

Convert V86.95XA to ICD-9-CM

  • ICD-9-CM Code: E821.9 - Oth off-road mv-pers NOS
    Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018