{"code":"V16.4","type":"category","title":"Pedal cycle driver injured in collision with other nonmotor vehicle in traffic accident","codeAlso":[],"includes":["collision with animal-drawn vehicle, animal being ridden, streetcar","any non-motorized vehicle, excluding an animal-drawn vehicle, or a sidecar or trailer attached to the pedal cycle"],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["rupture of pedal cycle tire (W37.0)"],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"inclusionTerms":[],"useAdditionalCode":[],"clinicalDefinition":"Pedal cycle driver injured in collision with other nonmotor vehicle in traffic accident is a non-billable ICD-10-CM category code (V16.4). A more specific billable subcode must be selected for claims submission. Includes: collision with animal-drawn vehicle, animal being ridden, streetcar; any non-motorized vehicle, excluding an animal-drawn vehicle, or a sidecar or trailer attached to the pedal cycle. Excludes2 (not included here): rupture of pedal cycle tire (W37.0). 7th character: The appropriate 7th character is to be added to each code from category V16.","officialDefinition":"Pedal cycle driver injured in collision with other nonmotor vehicle in traffic accident is a non-billable ICD-10-CM category code (V16.4). A more specific billable subcode must be selected for claims submission. Includes: collision with animal-drawn vehicle, animal being ridden, streetcar; any non-motorized vehicle, excluding an animal-drawn vehicle, or a sidecar or trailer attached to the pedal cycle. Excludes2 (not included here): rupture of pedal cycle tire (W37.0). 7th character: The appropriate 7th character is to be added to each code from category V16.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category V16"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"rupture of pedal cycle tire (W37.0)":"V16","collision with animal-drawn vehicle, animal being ridden, streetcar":"V16","any non-motorized vehicle, excluding an animal-drawn vehicle, or a sidecar or trailer attached to the pedal cycle":"V16"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}