October 1 update. Our PDGM and ICD-10 tools now use the FY2027 code set: 190 codes added, 30 deleted, and no existing code changed clinical group.

See what changed

ICD-10 · PDGM grouping

V12 Pedal cycle rider injured in collision with two- or three-wheeled motor vehicle

All 21 codes in the V12 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.

ICD-10-CM FY2027 · CMS grouper v07.2.26

Codes in family

21

Can lead a claim

0

Cannot lead a claim

21

What CMS assigns to V12

None of the 21 codes is assigned a clinical group. None of the 21 is assigned a comorbidity subgroup. None can lead a claim.

Every code in V12

Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
V12.0 Pedal cycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident
V12.0XXAPedal cycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounterCMS: Pedl cyc driver injured in clsn w 2/3-whl mv nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.0XXDPedal cycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounterCMS: Pedl cyc driver injured in clsn w 2/3-whl mv nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.0XXSPedal cycle driver injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequelaCMS: Pedl cyc driver inj in clsn w 2/3-whl mv nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.1 Pedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident
V12.1XXAPedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounterCMS: Pedl cyc pasngr injured in clsn w 2/3-whl mv nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.1XXDPedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounterCMS: Pedl cyc pasngr injured in clsn w 2/3-whl mv nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.1XXSPedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequelaCMS: Pedl cyc pasngr inj in clsn w 2/3-whl mv nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.2 Unspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in nontraffic accident
V12.2XXAUnspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, initial encounterCMS: Unsp pedl cyclst injured in clsn w 2/3-whl mv nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.2XXDUnspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, subsequent encounterCMS: Unsp pedl cyclst injured in clsn w 2/3-whl mv nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.2XXSUnspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in nontraffic accident, sequelaCMS: Unsp pedl cyclst inj in clsn w 2/3-whl mv nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.3 Person boarding or alighting a pedal cycle injured in collision with two- or three-wheeled motor vehicle
V12.3XXAPerson boarding or alighting a pedal cycle injured in collision with two- or three-wheeled motor vehicle, initial encounterCMS: Prsn brd/alit pedl cyc injured in clsn w 2/3-whl mv, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.3XXDPerson boarding or alighting a pedal cycle injured in collision with two- or three-wheeled motor vehicle, subsequent encounterCMS: Prsn brd/alit pedl cyc injured in clsn w 2/3-whl mv, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.3XXSPerson boarding or alighting a pedal cycle injured in collision with two- or three-wheeled motor vehicle, sequelaCMS: Prsn brd/alit pedl cyc injured in clsn w 2/3-whl mv, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.4 Pedal cycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident
V12.4XXAPedal cycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounterCMS: Pedl cyc driver injured in clsn w 2/3-whl mv in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.4XXDPedal cycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounterCMS: Pedl cyc driver injured in clsn w 2/3-whl mv in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.4XXSPedal cycle driver injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequelaCMS: Pedl cyc driver inj in clsn w 2/3-whl mv in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.5 Pedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident
V12.5XXAPedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounterCMS: Pedl cyc pasngr injured in clsn w 2/3-whl mv in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.5XXDPedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounterCMS: Pedl cyc pasngr injured in clsn w 2/3-whl mv in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.5XXSPedal cycle passenger injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequelaCMS: Pedl cyc pasngr inj in clsn w 2/3-whl mv in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.9 Unspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in traffic accident
V12.9XXAUnspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in traffic accident, initial encounterCMS: Unsp pedl cyclst injured in clsn w 2/3-whl mv in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.9XXDUnspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in traffic accident, subsequent encounterCMS: Unsp pedl cyclst injured in clsn w 2/3-whl mv in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V12.9XXSUnspecified pedal cyclist injured in collision with two- or three-wheeled motor vehicle in traffic accident, sequelaCMS: Unsp pedl cyclst inj in clsn w 2/3-whl mv in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone

Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.

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