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V01.038 vs W03

V01.038 (Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with pedal cycle in nontraffic accident) compared with W03 (Other fall on same level due to collision with another person), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V01.038
Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with pedal cycle in nontraffic accident
W03
Other fall on same level due to collision with another person

Not coded here — these two are mutually exclusive.

“fall due to non-transport collision with other person (W03)”

An Excludes1 note means the two conditions cannot occur together, so the pair should not be reported for the same encounter. The sole exception is when the conditions are documented as unrelated to each other.

Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a

Can these codes be reported together?

No — do not report together. V01.038 carries an Excludes1 note covering W03: “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).

Side by side

V01.038Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with pedal cycle in nontraffic accidentW03Other fall on same level due to collision with another person
Billing statusNon-billable headerNon-billable header

Report instead: W03.XXXA, W03.XXXD, W03.XXXS

ClassificationV00-Y99 — External Causes of Morbidity (V00-Y99)V00-Y99 — External Causes of Morbidity (V00-Y99)
DefinitionPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with pedal cycle in nontraffic accident is a non-billable ICD-10-CM category code (V01.038).Other fall on same level due to collision with another person is a non-billable ICD-10-CM category code (W03).
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
Pedestrian on hoverboard injured in collision with pedal cycle in nontraffic accident
Pedestrian on segway injured in collision with pedal cycle in nontraffic accident
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