V16.5
V16.5: Pedal cycle passenger injured in collision with other nonmotor vehicle in traffic accident
Non-billable headerICD-10-CM
V16.5 is a non-billable header ICD-10-CM code for pedal cycle passenger injured in collision with other nonmotor vehicle in traffic 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 V16
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Other codes that can never be billed with V16.5
Their own Excludes1 notes name this code, so the conflict is not listed above.
- V10Pedal cycle rider injured in collision with pedestrian or animal
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Alphabetic index entries that lead here
- Accident›transport›pedal cyclist›passenger›collision›animal-drawn vehicle(traffic)
- Accident›transport›pedal cyclist›passenger›collision›specified vehicle NEC(traffic)
- Accident›transport›pedal cyclist›passenger›collision›streetcar(traffic)
- Accident›transport›pedal cyclist›passenger›collision›animal›being ridden(traffic)
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead V16.5
3 child codes. Green means billable.
- V16.5XXAPedal cycle passenger injured in collision with other nonmotor vehicle in traffic accident, initial encounter
- V16.5XXDPedal cycle passenger injured in collision with other nonmotor vehicle in traffic accident, subsequent encounter
- V16.5XXSPedal cycle passenger injured in collision with other nonmotor vehicle in traffic accident, sequela
Other codes under V16
- 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
- V16.9Unspecified pedal cyclist injured in collision with other nonmotor vehicle in traffic accident