V16.0XXS vs W37.0

V16.0XXS (Pedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela) compared with W37.0 (Explosion of bicycle tire), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because V16.0XXS lists W37.0 under Excludes2, which marks them as distinct conditions.

Official rule

What is different?

The conditions named and billing status.V16.0XXS is “Pedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela”; W37.0 is “Explosion of bicycle tire”. W37.0 is a non-billable header; V16.0XXS is billable.

Registry fact

Can these codes be reported together?

Yes, when both are documented.V16.0XXS lists W37.0 under Excludes2: “rupture of pedal cycle tire (W37.0)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. W37.0 carries 4 Excludes1 notes covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.V16.0XXS’s tabular entry: “rupture of pedal cycle tire (W37.0)”. The note covers W37.0.

Official ruleGuide: Excludes1 vs Excludes2

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.W37.0 is a non-billable header, but V16.0XXS 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?

Informational

Excludes2 relationship

V16.0XXS

Pedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela

↔

W37.0

Explosion of bicycle tire

What we found

Yes, when both are documented.V16.0XXS carries an Excludes2 note covering W37.0: “rupture of pedal cycle tire (W37.0)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2 Check these on a claim

Why it matters

An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.

Source / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

Section I.A.12.b — Excludes2 · applies to: Excludes2
A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
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

	V16.0XXSPedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela	W37.0Explosion of bicycle tire
Billing status	Billable	Non-billable header Report instead: W37.0XXA, W37.0XXD, W37.0XXS
Classification	V00-Y99 — External Causes of Morbidity (V00-Y99)	V00-Y99 — External Causes of Morbidity (V00-Y99)
Definition	Pedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident, sequela is a billable ICD-10-CM diagnosis code (V16.0XXS).	Explosion of bicycle tire is a non-billable ICD-10-CM category code (W37.0).
7th character	The appropriate 7th character is to be added to each code from category V16	The appropriate 7th character is to be added to each code from category W37
Includes	collision with animal-drawn vehicle, animal being ridden, streetcar any non-motorized vehicle, excluding an animal-drawn vehicle, or a sidecar or trailer attached to the pedal cycle	—
Excludes1	—	assault (X92-Y09) contact or collision with animals or persons (W50-W64) exposure to inanimate mechanical forces involving military or war operations (Y36.-, Y37.-) intentional self-harm (X71-X83)
Excludes2	rupture of pedal cycle tire (W37.0)	—

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 (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources