MCMedicalCodingSoftware
V81.4

V81.4: Person injured while boarding or alighting from railway train or railway vehicle

Non-billable headerICD-10-CM

V81.4 is a non-billable header ICD-10-CM code for person injured while boarding or alighting from railway train or railway vehicle. 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 V81.4

A category’s note binds every code beneath it.

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

  • streetcar (V82.-)

Other codes that can never be billed with V81.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • V82Occupant of powered streetcar injured in transport accident

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Alphabetic index entries that lead here

  • Accident›transport›railway vehicle occupant›while boarding or alighting
  • Fall, falling›from, off, out of›train NEC›while boarding or alighting
  • Fall, falling›in, on›train›while boarding or alighting
  • Accident›transport›railway vehicle occupant›fall›while boarding or alighting

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead V81.4

3 child codes. Green means billable.

Other codes under V81

ICD-10-CMFY2027· effective October 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.