Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle (V65) ICD-10-CM
The V65 code range covers occupant of heavy transport vehicle injured in collision with railway train or railway vehicle with 37 ICD-10-CM diagnosis codes. 27 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
7th Character Note
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.
- The appropriate 7th character is to be added to each code from category V65
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter
- D - subsequent encounter
- S - sequela
Codes in the V65 Range 37 codes · 27 billable
- V65 Occupant of heavy transport vehicle injured in collision with railway train or railway vehicleNon-billable
- V65.0 Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accidentNon-billable
- V65.0XXA Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V65.0XXD Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V65.0XXS Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequela
- V65.1 Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accidentNon-billable
- V65.1XXA Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V65.1XXD Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V65.1XXS Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequela
- V65.2 Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accidentNon-billable
- V65.2XXA Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V65.2XXD Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V65.2XXS Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequela
- V65.3 Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accidentNon-billable
- V65.3XXA Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V65.3XXD Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V65.3XXS Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequela
- V65.4 Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicleNon-billable
- V65.4XXA Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, initial encounter
- V65.4XXD Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, subsequent encounter
- V65.4XXS Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, sequela
- V65.5 Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accidentNon-billable
- V65.5XXA Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V65.5XXD Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V65.5XXS Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela
- V65.6 Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accidentNon-billable
- V65.6XXA Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V65.6XXD Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V65.6XXS Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela
- V65.7 Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accidentNon-billable
- V65.7XXA Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V65.7XXD Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V65.7XXS Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela
- V65.9 Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accidentNon-billable
- V65.9XXA Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V65.9XXD Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V65.9XXS Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequela
About the V65 Code Range
The ICD-10 code V65 and its subcodes classify injuries to occupants of heavy transport vehicles involved in collisions with railway trains or railway vehicles. These codes distinguish different roles such as drivers, passengers, and persons on the outside of the vehicle, and specify whether the incident was a traffic or nontraffic accident.
This section covers the ICD-10 code for injuries resulting from collisions between heavy transport vehicles and railway trains or vehicles. Codes like V65.0 identify drivers injured in nontraffic accidents, while V65.5 applies to those in traffic accidents. Similarly, passengers and persons outside the vehicle have distinct codes (V65.1, V65.6, V65.2, and V65.7). Each category further subdivides with seventh-character extensions indicating the stage of care: initial encounter (A), subsequent care (D), or sequela (S). Additionally, codes such as V65.4 cover persons boarding or alighting heavy transport vehicles involved in such collisions. By using these specific codes, medical coders can accurately represent the injury circumstances related to these complex transport-rail incidents.
Questions About This Page
How many billable codes are in the V65 range?
Of the 37 codes in this range, 27 are billable and valid for claim submission from October 1, 2025 through September 30, 2026. Category header codes group them but cannot be reported on claims.
What does the V65 range classify?
The range classifies occupant of heavy transport vehicle injured in collision with railway train or railway vehicle. Each code links to its own reference page with billing status, MS-DRG grouping, coding notes, and clinical information.
Related References
Source: CMS FY 2026 ICD-10-CM Tabular List and order file, effective October 1, 2025 through September 30, 2026.
