Is V81.2 a billable ICD-10-CM code?

No. V81.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does V81.2 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 V81.2?

V81.2 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 V81.2 (V81) and apply to it just the same.

V81.2

V81.2 — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock

Non-billable headerICD-10-CM

V81.2 is a non-billable header ICD-10-CM code for occupant of railway train or railway vehicle injured in collision with or hit by rolling stock. 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 inherited from the categories above V81.2

These are not written on V81.2, but they bind it: a note on a category applies to every code beneath it. Billing V81.2 with anything listed here is a denial.

Written on V81 — Occupant of railway train or railway vehicle injured in transport accident

streetcar (V82.-)

Other codes that can never be billed with V81.2

These codes carry an Excludes1 note pointing at V81.2. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V81.2 alone.

V82Occupant of powered streetcar injured in transport accident

Risk adjustment

V81.2 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 V81.2 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 V81.2.

Accident›transport›railway vehicle occupant›collision›rolling stock

Code history

V81.2 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Code to one of these instead V81.2

3 child codes. Green means billable.

Related codes at this level

Codes that share V81. If V81.2 is not quite right, the correct code is usually one of these.

Questions about V81.2

Is V81.2 a billable ICD-10-CM code?: No. V81.2 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does V81.2 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 V81.2?: V81.2 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 V81.2 (V81) and apply to it just the same.