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V04.038 vs W03

V04.038 (Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus 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.

Can these codes be reported together?

No — do not report together. V04.038 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

V04.038Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accidentW03Other fall on same level due to collision with another person
Billing statusNon-billable header

Report instead: V04.038A, V04.038D, V04.038S

Non-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 heavy transport vehicle or bus in nontraffic accident is a non-billable ICD-10-CM category code (V04.038).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 V04The 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 heavy transport vehicle or bus in nontraffic accident
Pedestrian on segway injured in collision with heavy transport vehicle or bus 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