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Compare/V01 vs W03.XXXD

V01 vs W03.XXXD

V01 (Pedestrian injured in collision with pedal cycle) compared with W03.XXXD (Other fall on same level due to collision with another person, subsequent encounter), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. V01 carries an Excludes1 note covering W03.XXXD: “fall due to non-transport collision with other person (W03)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

No — do not report together. W03.XXXD carries an Excludes1 note covering V01: “fall (in) (from) transport vehicle (V01-V99)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

V01Pedestrian injured in collision with pedal cycleW03.XXXDOther fall on same level due to collision with another person, subsequent encounter
Billing statusNon-billable header

Report instead: V01.00XA, V01.00XD, V01.00XS, V01.01XA, V01.01XD

Billable
ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionPedestrian injured in collision with pedal cycle is a non-billable ICD-10-CM category code (V01).Other fall on same level due to collision with another person, subsequent encounter is a billable ICD-10-CM diagnosis code (W03D).
7th characterThe appropriate 7th character is to be added to each code from category V01The appropriate 7th character is to be added to code W03
Includes
person changing tire on transport vehicle
person examining engine of vehicle broken down in (on side of) road
Fall due to non-transport collision with other person

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources