Is V11.1 a billable ICD-10-CM code?

No. V11.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V11.1 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Pedal cycle rider injured in transport accident (V10-V19).

V11.1

V11.1 — Pedal cycle passenger injured in collision with other pedal cycle in nontraffic accident

Non-billable headerICD-10-CM

V11.1 is a non-billable header ICD-10-CM code for pedal cycle passenger injured in collision with other pedal cycle in nontraffic accident. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.

This code requires a 7th character

The appropriate 7th character is to be added to each code from category V11

A: initial encounter
D: subsequent encounter
S: sequela

Risk adjustment

V11.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

How V11.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to V11.1.

Accident›transport›pedal cyclist›passenger›collision›pedal cycle›nontraffic

Code to one of these instead V11.1

3 child codes. Green means billable.

Related codes at this level

Codes that share V11. If V11.1 is not quite right, the correct code is usually one of these.

Questions about V11.1

Is V11.1 a billable ICD-10-CM code?: No. V11.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V11.1 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Pedal cycle rider injured in transport accident (V10-V19).