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

V15 Pedal cycle rider injured in collision with railway train or railway vehicle

All 21 codes in the V15 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 V15

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 V15

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

CodeDescriptionPrimary positionClinical groupComorbidity subgroup
V15.0 Pedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident
V15.0XXAPedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident, initial encounterCMS: Pedl cyc driver injured in clsn w rail trn/veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.0XXDPedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounterCMS: Pedl cyc driver injured in clsn w rail trn/veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.0XXSPedal cycle driver injured in collision with railway train or railway vehicle in nontraffic accident, sequelaCMS: Pedl cyc driver inj in clsn w rail trn/veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.1 Pedal cycle passenger injured in collision with railway train or railway vehicle in nontraffic accident
V15.1XXAPedal cycle passenger injured in collision with railway train or railway vehicle in nontraffic accident, initial encounterCMS: Pedl cyc pasngr injured in clsn w rail trn/veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.1XXDPedal cycle passenger injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounterCMS: Pedl cyc pasngr injured in clsn w rail trn/veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.1XXSPedal cycle passenger injured in collision with railway train or railway vehicle in nontraffic accident, sequelaCMS: Pedl cyc pasngr inj in clsn w rail trn/veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.2 Unspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident
V15.2XXAUnspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident, initial encounterCMS: Unsp pedl cyclst inj in clsn w rail trn/veh nontraf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.2XXDUnspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounterCMS: Unsp pedl cyclst inj in clsn w rail trn/veh nontraf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.2XXSUnspecified pedal cyclist injured in collision with railway train or railway vehicle in nontraffic accident, sequelaCMS: Unsp pedl cyclst inj in clsn w rail trn/veh nontraf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.3 Person boarding or alighting a pedal cycle injured in collision with railway train or railway vehicle
V15.3XXAPerson boarding or alighting a pedal cycle injured in collision with railway train or railway vehicle, initial encounterCMS: Prsn brd/alit pedl cyc injured in clsn w rail trn/veh, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.3XXDPerson boarding or alighting a pedal cycle injured in collision with railway train or railway vehicle, subsequent encounterCMS: Prsn brd/alit pedl cyc injured in clsn w rail trn/veh, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.3XXSPerson boarding or alighting a pedal cycle injured in collision with railway train or railway vehicle, sequelaCMS: Prsn brd/alit pedl cyc inj in clsn w rail trn/veh, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.4 Pedal cycle driver injured in collision with railway train or railway vehicle in traffic accident
V15.4XXAPedal cycle driver injured in collision with railway train or railway vehicle in traffic accident, initial encounterCMS: Pedl cyc driver injured in clsn w rail trn/veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.4XXDPedal cycle driver injured in collision with railway train or railway vehicle in traffic accident, subsequent encounterCMS: Pedl cyc driver injured in clsn w rail trn/veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.4XXSPedal cycle driver injured in collision with railway train or railway vehicle in traffic accident, sequelaCMS: Pedl cyc driver inj in clsn w rail trn/veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.5 Pedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident
V15.5XXAPedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, initial encounterCMS: Pedl cyc pasngr injured in clsn w rail trn/veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.5XXDPedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, subsequent encounterCMS: Pedl cyc pasngr injured in clsn w rail trn/veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.5XXSPedal cycle passenger injured in collision with railway train or railway vehicle in traffic accident, sequelaCMS: Pedl cyc pasngr inj in clsn w rail trn/veh in traf, sequelaCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.9 Unspecified pedal cyclist injured in collision with railway train or railway vehicle in traffic accident
V15.9XXAUnspecified pedal cyclist injured in collision with railway train or railway vehicle in traffic accident, initial encounterCMS: Unsp pedl cyclst inj in clsn w rail trn/veh in traf, initCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.9XXDUnspecified pedal cyclist injured in collision with railway train or railway vehicle in traffic accident, subsequent encounterCMS: Unsp pedl cyclst inj in clsn w rail trn/veh in traf, subsCannot lead a claimExternal cause of injury code not reportable as principal diagnosisNoneNone
V15.9XXSUnspecified pedal cyclist injured in collision with railway train or railway vehicle in traffic accident, sequelaCMS: Unsp pedl cyclst inj in clsn w rail trn/veh 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.

The monthly home health regs digest

What CMS changed, what's due next, and what to do about it — one email a month, no fluff. Read the first issue