ICD-10 V85
Non-Billable HeaderOccupant of special construction vehicle injured in transport accident
About ICD-10-CM V85
ICD-10-CM code V85 represents Occupant of special construction vehicle injured in transport accident. This is a non-billable header code in the External Causes of Morbidity chapter (block V85). The 2026 edition of ICD-10-CM V85 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with V85. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- special industrial vehicle (V83.-)
- special construction vehicle in stationary use or maintenance (W31.-)
Includes
- bulldozer
- digger
- dump truck
- earth-leveller
- mechanical shovel
- road-roller
Coding Notes
Seven Chr Note
- The appropriate 7th character is to be added to each code from category V85
Medicare LCD Coverage for V85
Local Coverage Determinations (LCDs) from CMS MACs that list V85 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing V85.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but V85 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with V85
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To V85
Other codes in section V80-V89 (Other land transport accidents).
ICD-10 V85, Billing FAQ
Is ICD-10 code V85 billable? +
No, V85 is a non-billable header code. Use a more specific child code from block V85 when submitting claims.
What codes are Type 1 Excludes for V85? +
Type 1 Excludes (never code together with V85): special industrial vehicle (V83.-); special construction vehicle in stationary use or maintenance (W31.-)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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