V16 — Pedal cycle rider injured in collision with other nonmotor vehicle
V16 is a non-billable header ICD-10-CM code for pedal cycle rider injured in collision with other nonmotor vehicle. 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 V16
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Includes
Conditions this code covers.
- collision with animal-drawn vehicle, animal being ridden, streetcar
Other codes that can never be billed with V16
These codes carry an Excludes1 note pointing at V16. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V16 alone.
- V10Pedal cycle rider injured in collision with pedestrian or animal
Risk adjustment
V16 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.
Code to one of these instead V16
7 child codes. Green means billable.
- V16.0Pedal cycle driver injured in collision with other nonmotor vehicle in nontraffic accident
- V16.1Pedal cycle passenger injured in collision with other nonmotor vehicle in nontraffic accident
- V16.2Unspecified pedal cyclist injured in collision with other nonmotor vehicle in nontraffic accident
- V16.3Person boarding or alighting a pedal cycle injured in collision with other nonmotor vehicle in nontraffic accident
- V16.4Pedal cycle driver injured in collision with other nonmotor vehicle in traffic accident
- V16.5Pedal cycle passenger injured in collision with other nonmotor vehicle in traffic accident
- V16.9Unspecified pedal cyclist injured in collision with other nonmotor vehicle in traffic accident
Questions about V16
- Is V16 a billable ICD-10-CM code?
- No. V16 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V16 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Pedal cycle rider injured in transport accident (V10-V19).