V81
V81: Occupant of railway train or railway vehicle injured in transport accident
Non-billable headerICD-10-CM
V81 is a non-billable header ICD-10-CM code for occupant of railway train or railway vehicle injured in transport 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 V81
- A
- initial encounter
- D
- subsequent encounter
- S
- sequela
Excludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- streetcar (V82.-)
Includes
Conditions this code covers.
- derailment of railway train or railway vehicle
- person on outside of train
Other codes that can never be billed with V81
Their own Excludes1 notes name this code, so the conflict is not listed above.
- V81.0Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
- V81.0XXAOccupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, initial encounter
- V81.0XXDOccupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, subsequent encounter
- V81.0XXSOccupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, sequela
- V81.1Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
- V81.1XXAOccupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter
- V81.1XXDOccupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, subsequent encounter
- V81.1XXSOccupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, sequela
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Code history
Unchanged in every release from FY2024 to FY2027.
Code to one of these instead V81
10 child codes. Green means billable.
- V81.0Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
- V81.1Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
- V81.2Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock
- V81.3Occupant of railway train or railway vehicle injured in collision with other object
- V81.4Person injured while boarding or alighting from railway train or railway vehicle
- V81.5Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle
- V81.6Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle
- V81.7Occupant of railway train or railway vehicle injured in derailment without antecedent collision
- V81.8Occupant of railway train or railway vehicle injured in other specified railway accidents
- V81.9Occupant of railway train or railway vehicle injured in unspecified railway accident