MCMCB Pro
V81.2

V81.2Occupant 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

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.

  • Accidenttransportrailway vehicle occupantcollisionrolling stock

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).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.