V81.1XXS — Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, sequela
V81.1XXS is a billable, specific ICD-10-CM code for occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, sequela. It is valid for submission on a claim.
7th character "S" — sequela
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)
Excludes1 inherited from the categories above V81.1XXS
These are not written on V81.1XXS, but they bind it: a note on a category applies to every code beneath it. Billing V81.1XXS with anything listed here is a denial.
Other codes that can never be billed with V81.1XXS
These codes carry an Excludes1 note pointing at V81.1XXS. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V81.1XXS alone.
- V82Occupant of powered streetcar injured in transport accident
Risk adjustment
V81.1XXS 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 history
V81.1XXS has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.
Related codes at this level
Codes that share V81.1. If V81.1XXS is not quite right, the correct code is usually one of these.
Questions about V81.1XXS
- Is V81.1XXS a billable ICD-10-CM code?
- Yes. V81.1XXS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does V81.1XXS 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 V81.1XXS?
- V81.1XXS carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above V81.1XXS (V81.1, V81) and apply to it just the same.