V81: Occupant of railway train or railway vehicle injured in transport accident

Codes under V81 (Occupant of railway train or railway vehicle injured in transport accident). A ✓ marks a billable (fully specified) code; category codes without a ✓ are not billable on their own.

Code	Description	Billable
V81.0	Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident	—
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 accident	—
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 stock	—
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 object	—
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 vehicle	—
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 vehicle	—
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 vehicle	—
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 collision	—
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 accidents	—
V81.9	Occupant of railway train or railway vehicle injured in unspecified railway accident	—
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	✓
V81.81	Occupant of railway train or railway vehicle injured due to explosion or fire on train	—
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 train	—
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 vehicle	—
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 accident	—
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	✓

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Informational only, not coding or medical advice. Verify against the official ICD-10-CM (FY2026) and your payer's guidelines.

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