V81.0 — Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
V81.0 is a non-billable header ICD-10-CM code for occupant of railway train or railway vehicle injured in collision with motor 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 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.
- Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83)
Risk adjustment
V81.0 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 V81.0 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 V81.0.
- Accident›transport›railway vehicle occupant›collision›motor vehicle›nontraffic
Code to one of these instead V81.0
3 child codes. Green means billable.
- 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
Related codes at this level
Codes that share V81. If V81.0 is not quite right, the correct code is usually one of these.
- 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
Questions about V81.0
- Is V81.0 a billable ICD-10-CM code?
- No. V81.0 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V81.0 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 V81.0?
- V81.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.