2026 ICD-10-CM Diagnosis Code V81Occupant of railway train or railway vehicle injured in transport accident
V81 is a non-billable ICD-10-CM category code for occupant of railway train or railway vehicle injured in transport accident, so it cannot be submitted on claims. Use a more specific code from this category instead, such as V81.0XXA, V81.0XXD, V81.0XXS, and V81.1XXA.
Code Identity
Code Classification
Specific Coding for Occupant of rail trn/veh injured in transport accidentOverview
Non-specific codes like V81 require more characters. Use one of these billable codes instead:
V81.0 for Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
V81.1 for Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
V81.2 for Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock
V81.3 for Occupant of railway train or railway vehicle injured in collision with other object
V81.4 for Person injured while boarding or alighting from railway train or railway vehicle
V81.5 for Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle
V81.6 for Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle
V81.7 for Occupant of railway train or railway vehicle injured in derailment without antecedent collision
V81.8 for Occupant of railway train or railway vehicle injured in other specified railway accidents
V81.81 for Occupant of railway train or railway vehicle injured due to explosion or fire on train
V81.82 for Occupant of railway train or railway vehicle injured due to object falling onto train
V81.83 for Occupant of railway train or railway vehicle injured due to collision with military vehicle
V81.89 for Occupant of railway train or railway vehicle injured due to other specified railway accident
V81.9 for Occupant of railway train or railway vehicle injured in unspecified railway accident
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Includes
- derailment of railway train or railway vehicle
- person on outside of train
Type 1 Excludes
- streetcar V82
7th Character Note
- The appropriate 7th character is to be added to each code from category V81
7th Character
- A - initial encounter
- D - subsequent encounter
- S - sequela
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
Indicates that a seventh character is to be assigned to codes in a subcategory.
Code HistoryHistory
Questions About V81Overview
Is V81 a billable code?
No. This is a category header that groups the codes for occupant of railway train or railway vehicle injured in transport accident, and headers cannot be submitted on claims. Claims for occupant of railway train or railway vehicle injured in transport accident need a more specific code from this category, such as V81.0XXA, V81.0XXD, and V81.0XXS.
