ICD-10-CM category
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 | — |
| V81.0 | 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 | ✓ |
| V81.0XXA | 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 | ✓ |
| V81.0XXD | 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 | ✓ |
| V81.0XXS | 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 | — |
| V81.1 | 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 | ✓ |
| V81.1XXA | 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 | ✓ |
| V81.1XXD | 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 | ✓ |
| V81.1XXS | 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 | — |
| V81.2 | 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 | ✓ |
| V81.2XXA | 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 | ✓ |
| V81.2XXD | 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 | ✓ |
| V81.2XXS | 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 | — |
| V81.3 | 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 | ✓ |
| V81.3XXA | 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 | ✓ |
| V81.3XXD | 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 | ✓ |
| V81.3XXS | 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 | — |
| V81.4 | 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 | ✓ |
| V81.4XXA | 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 | ✓ |
| V81.4XXD | 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 | ✓ |
| V81.4XXS | 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 | — |
| V81.5 | 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 | ✓ |
| V81.5XXA | 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 | ✓ |
| V81.5XXD | 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 | ✓ |
| V81.5XXS | 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 | — |
| V81.6 | 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 | ✓ |
| V81.6XXA | 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 | ✓ |
| V81.6XXD | 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 | ✓ |
| V81.6XXS | 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 | — |
| V81.7 | 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 | ✓ |
| V81.7XXA | 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 | ✓ |
| V81.7XXD | 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 | ✓ |
| V81.7XXS | 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 | — |
| V81.8 | 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 | — |
| V81.9 | 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 | ✓ |
| V81.9XXA | 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 | ✓ |
| V81.9XXD | 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 | ✓ |
| V81.9XXS | 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 | — |
| V81.81 | 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 | ✓ |
| V81.81XA | 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 | ✓ |
| V81.81XD | 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 | ✓ |
| V81.81XS | 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 | — |
| V81.82 | 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 | ✓ |
| V81.82XA | 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 | ✓ |
| V81.82XD | 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 | ✓ |
| V81.82XS | 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 | — |
| V81.83 | 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 | ✓ |
| V81.83XA | 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 | ✓ |
| V81.83XD | 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 | ✓ |
| V81.83XS | 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 | — |
| V81.89 | 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 | ✓ |
| V81.89XA | 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 | ✓ |
| V81.89XD | 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 | ✓ |
| V81.89XS | Occupant of railway train or railway vehicle injured due to other specified railway accident, sequela | ✓ |
Frequently asked questions
What is ICD-10-CM code V81?
V81 is an ICD-10-CM category covering Occupant of railway train or railway vehicle injured in transport accident. It contains 106 more specific diagnosis codes, 78 of which are billable.
Is V81 a billable code?
No — V81 is a category header and isn't billable on its own. Code to the highest level of specificity using one of its subcodes (for example V81.0 — Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident). 78 of the 106 codes under V81 are billable.
What codes fall under V81?
V81 includes V81.0, V81.0, V81.0XXA, V81.0XXA, V81.0XXD, plus 101 more. See the full list with descriptions and billable status above.
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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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