V04.038D vs W00

V04.038D (Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter) compared with W00 (Fall due to ice and snow), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Relationship

Conflict

Excludes1 conflict

V04.038D

Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter

↔

W00

Fall due to ice and snow

Not coded here — these two are mutually exclusive.

“pedestrian on foot falling (slipping) on ice and snow (W00.-)”

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. V04.038D carries an Excludes1 note covering W00: “pedestrian on foot falling (slipping) on ice and snow (W00.-)”

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

	V04.038DPedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter	W00Fall due to ice and snow
Billing status	Billable	Non-billable header Report instead: W00.0XXA, W00.0XXD, W00.0XXS, W00.1XXA, W00.1XXD
Classification	V00-Y99 — External Causes of Morbidity (V00-Y99)	V00-Y99 — External Causes of Morbidity (V00-Y99)
Definition	Pedestrian on other standing micro-mobility pedestrian conveyance injured in collision with heavy transport vehicle or bus in nontraffic accident, subsequent encounter is a billable ICD-10-CM diagnosis code (V04.038D).	Fall due to ice and snow is a non-billable ICD-10-CM category code (W00).
7th character	The appropriate 7th character is to be added to each code from category V04	The appropriate 7th character is to be added to each code from category W00
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	pedestrian on foot falling (slipping) on ice and snow

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