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ICD-10-CM 2027 diagnosis code

V86.65XDPassenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter

✓ Billable / specificPOA exemptRequires 7th character

V86.65XD is a valid, billable ICD-10-CM code for passenger of 3- or 4- wheeled all-terrain vehicle (atv) injured in nontraffic accident, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Passenger of 3- or 4- wheeled ATV injured nontraf, subs

Code last changed in FY2018 (effective October 1, 2017). Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About V86.65XD

V86.65XD is the ICD-10-CM diagnosis code for passenger of 3- or 4- wheeled all-terrain vehicle (ATV) injured in nontraffic accident, subsequent encounter. It belongs to category V86 (occupant of special all-terrain or other off-road motor vehicle, injured in transport accident), block V80-V89 (other land transport accidents) and chapter 20 (external causes of morbidity). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It was added in FY2018, effective October 1, 2017.

Before ICD-10, this condition was coded in ICD-9-CM as E821.1 (nontraffic accident involving other off-road motor vehicle injuring passenger in motor vehicle other than motorcycle).

7th character

Dsubsequent encounter

Other encounter types for V86.65:

Notes that apply from higher levels

Instructions written at a parent level also apply to V86.65XD.

› From V86 Occupant of special all-terrain or other off-road motor vehicle, injured in transport accident
Excludes1
  • special all-terrain vehicle in stationary use or maintenance (W31.-)
  • sport-utility vehicle (V50-V59)
  • three-wheeled motor vehicle designed for on-road use (V30-V39)

Broader instructions also apply from Chapter 20: External causes of morbidity.

ICD-9-CM equivalent

Converter →
  • E821.1Nontraffic accident involving other off-road motor vehicle injuring passenger in motor vehicle other than motorcycleapproximate

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2018 (effective 10/1/2017): Added
  • No changes since FY2018.

Common questions about V86.65XD

Is V86.65XD billable?

Yes. V86.65XD is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "D" at the end of V86.65XD mean?

It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.

Can V86.65XD be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict V86.65XD as a principal diagnosis.

Is V86.65XD a CC or MCC?

No. V86.65XD is neither a CC nor an MCC under MS-DRG v44.0.

What is the ICD-9 code for V86.65XD?

The CMS General Equivalence Mappings map V86.65XD to ICD-9-CM E821.1.