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2025 ICD-10-CM code V86

Injury to an occupant of a special all-terrain or other off-road motor vehicle in a transport accident.

Use additional codes to specify the injury sustained and other details.Ensure the use of appropriate external cause codes in conjunction with injury codes to provide complete and accurate clinical picture.

Medical necessity for treatment is established through the documented injuries sustained in the accident, the clinical assessment, diagnostic findings, and the treatment plan required to address the injuries.

The clinical responsibility involves assessing and treating the injuries sustained by the patient in the accident, including diagnosis, treatment planning, procedure execution, and post-operative care if necessary.Documentation should support the diagnosis and treatment plans.

IMPORTANT:Consider additional codes from Chapters 1-19 to specify the nature of the injury (e.g., fractures, lacerations). Codes from Chapter 20 may also be used to provide further details on the circumstances of the accident.

In simple words: This code is used when someone gets hurt while riding in a special off-road vehicle like an ATV, and the accident happened because the vehicle was moving. It doesn't apply if the vehicle wasn't moving, like if it was parked and someone was fixing it.

This code classifies injuries sustained by a person occupying a special all-terrain vehicle or other off-road motor vehicle during a transport accident.The accident must involve the vehicle being in motion or actively used for transport purposes.The code excludes injuries from stationary vehicles undergoing maintenance or repair.Additional codes may be necessary to specify the nature of the injury and other contributing factors.

Example 1: A patient is injured while riding as a passenger in an ATV that rolls over during a race.The patient sustains a fractured femur and multiple contusions., A patient operating a dune buggy sustains a head injury after colliding with a tree during an off-road excursion., A patient is injured while riding on a snowmobile that collides with another snowmobile on a snow-covered trail. The patient sustains a concussion and multiple soft tissue injuries.

Detailed description of the accident, including location, circumstances, type of vehicle, speed, and involvement of other vehicles or objects.Complete documentation of the patient's injuries, including diagnostic imaging and physical examination findings.Detailed treatment plan, including surgical interventions, if any.Relevant diagnostic tests performed, such as X-rays, CT scans, or MRIs.

** This code applies to accidents involving special all-terrain vehicles and other off-road motor vehicles.It does not apply to accidents involving sport-utility vehicles or three-wheeled motor vehicles designed for on-road use.Always consider additional codes to fully describe the injuries sustained.

** Only Enterprise users with EHR integration can access case-specific answers. Click here to request access.

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