V65.1 — Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
V65.1 is a non-billable header ICD-10-CM code for passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident. It cannot be billed on its own: choose one of the more specific child codes below. This code also requires a 7th character before it is complete.
This code requires a 7th character
The appropriate 7th character is to be added to each code from category V65
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Risk adjustment
V65.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
How V65.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to V65.1.
- Accident›transport›truck occupant›passenger›collision›railway vehicle›nontraffic
Code to one of these instead V65.1
3 child codes. Green means billable.
- V65.1XXAPassenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V65.1XXDPassenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V65.1XXSPassenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequela
Related codes at this level
Codes that share V65. If V65.1 is not quite right, the correct code is usually one of these.
- V65.0Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
- V65.2Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
- V65.3Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
- V65.4Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle
- V65.5Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident
- V65.6Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident
- V65.7Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident
- V65.9Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident
Questions about V65.1
- Is V65.1 a billable ICD-10-CM code?
- No. V65.1 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V65.1 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Occupant of heavy transport vehicle injured in transport accident (V60-V69).