ICD-10 · PDGM grouping
V85 Occupant of special construction vehicle injured in transport accident
All 27 codes in the V85 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
27
Can lead a claim
0
Cannot lead a claim
27
What CMS assigns to V85
None of the 27 codes is assigned a clinical group. None of the 27 is assigned a comorbidity subgroup. None can lead a claim.
Every code in V85
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| V85.0 Driver of special construction vehicle injured in traffic accident | ||||
| V85.0XXA | Driver of special construction vehicle injured in traffic accident, initial encounterCMS: Driver of special construction vehicle injured in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.0XXD | Driver of special construction vehicle injured in traffic accident, subsequent encounterCMS: Driver of special construction vehicle injured in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.0XXS | Driver of special construction vehicle injured in traffic accident, sequelaCMS: Driver of special construct vehicle injured in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.1 Passenger of special construction vehicle injured in traffic accident | ||||
| V85.1XXA | Passenger of special construction vehicle injured in traffic accident, initial encounterCMS: Passenger of special construct vehicle injured in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.1XXD | Passenger of special construction vehicle injured in traffic accident, subsequent encounterCMS: Passenger of special construct vehicle injured in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.1XXS | Passenger of special construction vehicle injured in traffic accident, sequelaCMS: Pasngr of special construct vehicle injured in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.2 Person on outside of special construction vehicle injured in traffic accident | ||||
| V85.2XXA | Person on outside of special construction vehicle injured in traffic accident, initial encounterCMS: Person outside special construct vehicle inj in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.2XXD | Person on outside of special construction vehicle injured in traffic accident, subsequent encounterCMS: Person outside special construct vehicle inj in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.2XXS | Person on outside of special construction vehicle injured in traffic accident, sequelaCMS: Person outsd special construct vehicle inj in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.3 Unspecified occupant of special construction vehicle injured in traffic accident | ||||
| V85.3XXA | Unspecified occupant of special construction vehicle injured in traffic accident, initial encounterCMS: Occup of special construction vehicle injured in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.3XXD | Unspecified occupant of special construction vehicle injured in traffic accident, subsequent encounterCMS: Occup of special construction vehicle injured in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.3XXS | Unspecified occupant of special construction vehicle injured in traffic accident, sequelaCMS: Occup of special construct vehicle injured in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.4 Person injured while boarding or alighting from special construction vehicle | ||||
| V85.4XXA | Person injured while boarding or alighting from special construction vehicle, initial encounterCMS: Person inj wh brd/alit from special construct vehicle, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.4XXD | Person injured while boarding or alighting from special construction vehicle, subsequent encounterCMS: Person inj wh brd/alit from special construct vehicle, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.4XXS | Person injured while boarding or alighting from special construction vehicle, sequelaCMS: Person inj wh brd/alit from special construct vehicle, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.5 Driver of special construction vehicle injured in nontraffic accident | ||||
| V85.5XXA | Driver of special construction vehicle injured in nontraffic accident, initial encounterCMS: Driver of special construction vehicle injured nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.5XXD | Driver of special construction vehicle injured in nontraffic accident, subsequent encounterCMS: Driver of special construction vehicle injured nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.5XXS | Driver of special construction vehicle injured in nontraffic accident, sequelaCMS: Driver of special construct vehicle injured nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.6 Passenger of special construction vehicle injured in nontraffic accident | ||||
| V85.6XXA | Passenger of special construction vehicle injured in nontraffic accident, initial encounterCMS: Passenger of special construct vehicle injured nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.6XXD | Passenger of special construction vehicle injured in nontraffic accident, subsequent encounterCMS: Passenger of special construct vehicle injured nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.6XXS | Passenger of special construction vehicle injured in nontraffic accident, sequelaCMS: Pasngr of special construct vehicle injured nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.7 Person on outside of special construction vehicle injured in nontraffic accident | ||||
| V85.7XXA | Person on outside of special construction vehicle injured in nontraffic accident, initial encounterCMS: Person outside special construct vehicle inj nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.7XXD | Person on outside of special construction vehicle injured in nontraffic accident, subsequent encounterCMS: Person outside special construct vehicle inj nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.7XXS | Person on outside of special construction vehicle injured in nontraffic accident, sequelaCMS: Person outsd special construct vehicle inj nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.9 Unspecified occupant of special construction vehicle injured in nontraffic accident | ||||
| V85.9XXA | Unspecified occupant of special construction vehicle injured in nontraffic accident, initial encounterCMS: Occup of special construction vehicle injured nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.9XXD | Unspecified occupant of special construction vehicle injured in nontraffic accident, subsequent encounterCMS: Occup of special construction vehicle injured nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V85.9XXS | Unspecified occupant of special construction vehicle injured in nontraffic accident, sequelaCMS: Occup of special construct vehicle injured nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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