Is V81 a billable ICD-10-CM code?

No. V81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V81 sit in the tabular list?

External causes of morbidity (V00-Y99), in the block Other land transport accidents (V80-V89).

What cannot be coded together with V81?

V81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

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

These codes carry an Excludes1 note pointing at V81. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V81 alone.

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

V81 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.

Code to one of these instead V81

10 child codes. Green means billable.

Questions about V81

Is V81 a billable ICD-10-CM code?: No. V81 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V81 sit in the tabular list?: External causes of morbidity (V00-Y99), in the block Other land transport accidents (V80-V89).
What cannot be coded together with V81?: V81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.