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Compare/V01 vs W16

V01 vs W16

V01 (Pedestrian injured in collision with pedal cycle) compared with W16 (Fall, jump or diving into water), 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. W16 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 cycleW16Fall, jump or diving into water
Billing statusNon-billable header

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

Non-billable header

Report instead: W16.011A, W16.011D, W16.011S, W16.012A, W16.012D

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).Fall, jump or diving into water is a non-billable ICD-10-CM category code (W16).
7th characterThe appropriate 7th character is to be added to each code from category V01The appropriate 7th character is to be added to each code from category W16
Includes
person changing tire on transport vehicle
person examining engine of vehicle broken down in (on side of) road

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