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V81.8

V81.8: Occupant of railway train or railway vehicle injured in other specified railway accidents

Non-billable headerICD-10-CM

V81.8 is a non-billable header ICD-10-CM code for occupant of railway train or railway vehicle injured in other specified railway accidents. 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 V81.8

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 V81.8

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

  • V81.0Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
  • 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
  • V81.1Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
  • V81.1XXAOccupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter
  • V81.1XXDOccupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, subsequent encounter
  • V81.1XXSOccupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, sequela

Risk adjustment

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

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead V81.8

4 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.