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V06.91XS vs W03

V06.91XS (Pedestrian on roller-skates injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, sequela) compared with W03 (Other fall on same level due to collision with another person), from the official CMS tabular data.

Summary

These codes should not be reported together because V06.91XS’s tabular entry lists W03 under Excludes1.

Official rule
What is different?

The conditions named and billing status.V06.91XS is “Pedestrian on roller-skates injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, sequela”; W03 is “Other fall on same level due to collision with another person”. W03 is a non-billable header; V06.91XS is billable.

Registry fact

Can these codes be reported together?

No.V06.91XS’s entry carries an Excludes1 note covering W03: “fall due to non-transport collision with other person (W03)”. Both may be reported only when the documentation shows the two conditions are unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

Yes.V06.91XS’s tabular entry: “fall due to non-transport collision with other person (W03)”. The note covers W03.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes2 relationship?

None.Neither entry carries an Excludes2 note that names the other code. W03 carries 3 Excludes2 notes covering other codes; the side-by-side table quotes them.

Official rule

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

One is a header.W03 is a non-billable header, but V06.91XS is not one of its subdivisions.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Conflict

Excludes1 conflict

V06.91XS
Pedestrian on roller-skates injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, sequela
↔
W03
Other fall on same level due to collision with another person

What we found

No — do not report together.V06.91XS 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).

What to review

Report one of the two. Both may be reported only when the documentation shows the two conditions are unrelated to each other.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

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 / rule

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

Official guidance behind these answers

  • Section I.A.12.a — Excludes1 · applies to: Excludes1

    A type 1 Excludes note is a pure excludes note. It means “NOT CODED HERE!” An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition. An exception to the Excludes1 definition is the circumstance when the two conditions are unrelated to each other. If it is not clear whether the two conditions involving an Excludes1 note are related or not, query the provider. For example, code F45.8, Other somatoform disorders, has an Excludes1 note for "sleep related teeth grinding (G47.63)," because "teeth grinding" is an inclusion term under F45.8. Only one of these two codes should be assigned for teeth grinding. However psychogenic dysmenorrhea is also an inclusion term under F45.8, and a patient could have both this condition and sleep related teeth grinding. In this case, the two conditions are clearly unrelated to each other, and so it would be appropriate to report F45.8 and G47.63 together.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

V06.91XSPedestrian on roller-skates injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, sequelaW03Other fall on same level due to collision with another person
Billing statusBillableNon-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 roller-skates injured in collision with other nonmotor vehicle, unspecified whether traffic or nontraffic accident, sequela is a billable ICD-10-CM diagnosis code (V06.91XS).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 V06The appropriate 7th character is to be added to code W03
Includes
collision with animal-drawn vehicle, animal being ridden, nonpowered streetcar
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
Excludes1
pedestrian injured in collision with pedestrian conveyance (V00.0-)
fall due to non-transport collision with other person (W03)
pedestrian on foot falling (slipping) on ice and snow (W00.-)
struck or bumped by another person (W51)
collision with another person without fall (W51)
crushed or pushed by a crowd or human stampede (W52)
fall involving pedestrian conveyance (V00-V09)
fall due to ice or snow (W00)
fall on same level NOS (W18.30)
assault involving a fall (Y01-Y02)
fall from animal (V80.-)
fall (in) (from) machinery (in operation) (W28-W31)
fall (in) (from) transport vehicle (V01-V99)
intentional self-harm involving a fall (X80-X81)
Excludes2—
at risk for fall (history of fall) Z91.81
fall (in) (from) burning building (X00.-)
fall into fire (X00-X04, X08)

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2026). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources