Occupant of railway train or railway vehicle injured in transport accident (V81) ICD-10-CM
The V81 code range covers occupant of railway train or railway vehicle injured in transport accident with 54 ICD-10-CM diagnosis codes. 39 of them are billable and valid for claim submission in fiscal year 2026, and the category headers group them but cannot themselves be billed.
Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
- derailment of railway train or railway vehicle
- person on outside of train
Type 1 Excludes
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.
- streetcar V82
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 V81
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 V81 Range 54 codes · 39 billable
- V81 Occupant of railway train or railway vehicle injured in transport accidentNon-billable
- V81.0 Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accidentNon-billable
- V81.0XXA Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, initial encounter
- V81.0XXD Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, subsequent encounter
- V81.0XXS Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, sequela
- V81.1 Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accidentNon-billable
- V81.1XXA Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter
- V81.1XXD Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, subsequent encounter
- V81.1XXS Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, sequela
- V81.2 Occupant of railway train or railway vehicle injured in collision with or hit by rolling stockNon-billable
- V81.2XXA Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, initial encounter
- V81.2XXD Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, subsequent encounter
- V81.2XXS Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, sequela
- V81.3 Occupant of railway train or railway vehicle injured in collision with other objectNon-billable
- V81.3XXA Occupant of railway train or railway vehicle injured in collision with other object, initial encounter
- V81.3XXD Occupant of railway train or railway vehicle injured in collision with other object, subsequent encounter
- V81.3XXS Occupant of railway train or railway vehicle injured in collision with other object, sequela
- V81.4 Person injured while boarding or alighting from railway train or railway vehicleNon-billable
- V81.4XXA Person injured while boarding or alighting from railway train or railway vehicle, initial encounter
- V81.4XXD Person injured while boarding or alighting from railway train or railway vehicle, subsequent encounter
- V81.4XXS Person injured while boarding or alighting from railway train or railway vehicle, sequela
- V81.5 Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicleNon-billable
- V81.5XXA Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, initial encounter
- V81.5XXD Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, subsequent encounter
- V81.5XXS Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, sequela
- V81.6 Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicleNon-billable
- V81.6XXA Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, initial encounter
- V81.6XXD Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, subsequent encounter
- V81.6XXS Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, sequela
- V81.7 Occupant of railway train or railway vehicle injured in derailment without antecedent collisionNon-billable
- V81.7XXA Occupant of railway train or railway vehicle injured in derailment without antecedent collision, initial encounter
- V81.7XXD Occupant of railway train or railway vehicle injured in derailment without antecedent collision, subsequent encounter
- V81.7XXS Occupant of railway train or railway vehicle injured in derailment without antecedent collision, sequela
- V81.8 Occupant of railway train or railway vehicle injured in other specified railway accidentsNon-billable
- V81.81 Occupant of railway train or railway vehicle injured due to explosion or fire on trainNon-billable
- V81.81XA Occupant of railway train or railway vehicle injured due to explosion or fire on train, initial encounter
- V81.81XD Occupant of railway train or railway vehicle injured due to explosion or fire on train, subsequent encounter
- V81.81XS Occupant of railway train or railway vehicle injured due to explosion or fire on train, sequela
- V81.82 Occupant of railway train or railway vehicle injured due to object falling onto trainNon-billable
- V81.82XA Occupant of railway train or railway vehicle injured due to object falling onto train, initial encounter
- V81.82XD Occupant of railway train or railway vehicle injured due to object falling onto train, subsequent encounter
- V81.82XS Occupant of railway train or railway vehicle injured due to object falling onto train, sequela
- V81.83 Occupant of railway train or railway vehicle injured due to collision with military vehicleNon-billable
- V81.83XA Occupant of railway train or railway vehicle injured due to collision with military vehicle, initial encounter
- V81.83XD Occupant of railway train or railway vehicle injured due to collision with military vehicle, subsequent encounter
- V81.83XS Occupant of railway train or railway vehicle injured due to collision with military vehicle, sequela
- V81.89 Occupant of railway train or railway vehicle injured due to other specified railway accidentNon-billable
- V81.89XA Occupant of railway train or railway vehicle injured due to other specified railway accident, initial encounter
- V81.89XD Occupant of railway train or railway vehicle injured due to other specified railway accident, subsequent encounter
- V81.89XS Occupant of railway train or railway vehicle injured due to other specified railway accident, sequela
- V81.9 Occupant of railway train or railway vehicle injured in unspecified railway accidentNon-billable
- V81.9XXA Occupant of railway train or railway vehicle injured in unspecified railway accident, initial encounter
- V81.9XXD Occupant of railway train or railway vehicle injured in unspecified railway accident, subsequent encounter
- V81.9XXS Occupant of railway train or railway vehicle injured in unspecified railway accident, sequela
About the V81 Code Range
The ICD-10 code section V81 covers injuries sustained by occupants of railway trains or railway vehicles in transport accidents. These codes specifically identify the circumstances and details of the incident, ranging from collisions to falls and derailments.
This section is used for accurately coding various railway-related injuries, including collisions with motor vehicles (both traffic and nontraffic accidents), collisions with rolling stock, collisions with other objects like fallen trees or platforms, falls inside or from the train, derailments, and injuries from explosions or fires on trains. For example, the ICD-10 code V81.1 addresses injuries from collisions with motor vehicles during traffic accidents, also known as train accidents involving collision with rolling stock, which helps distinguish these scenarios precisely. Similarly, codes like V81.5 refer to falls inside a railway train, and V81.7 relates to derailments without prior collisions. These detailed categories also account for the timing of medical encounters (initial, subsequent, or sequela), ensuring clear documentation of treatment phases.
By using these focused codes, medical coders can specify the exact nature of railway-related injuries for proper classification and analysis, assisting healthcare professionals and insurance processes. The long-tail keyword “ICD-10 code for occupant injured in railway train accident” reflects the intent behind these codes and supports easier navigation in specialized coding scenarios.
Questions About This Page
How many billable codes are in the V81 range?
Of the 54 codes in this range, 39 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 V81 range classify?
The range classifies occupant of railway train or railway vehicle injured in transport accident. 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.
