V81.8 — Occupant of railway train or railway vehicle injured in other specified railway accidents
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
Other codes that can never be billed with V81.8
These codes carry an Excludes1 note pointing at V81.8. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading V81.8 alone.
- 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
V81.8 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 to one of these instead V81.8
4 child codes. Green means billable.
- V81.81Occupant of railway train or railway vehicle injured due to explosion or fire on train
- V81.82Occupant of railway train or railway vehicle injured due to object falling onto train
- V81.83Occupant of railway train or railway vehicle injured due to collision with military vehicle
- V81.89Occupant of railway train or railway vehicle injured due to other specified railway accident
Related codes at this level
Codes that share V81. If V81.8 is not quite right, the correct code is usually one of these.
- V81.0Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
- V81.1Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
- V81.2Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock
- V81.3Occupant of railway train or railway vehicle injured in collision with other object
- V81.4Person injured while boarding or alighting from railway train or railway vehicle
- V81.5Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle
- V81.6Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle
- V81.7Occupant of railway train or railway vehicle injured in derailment without antecedent collision
- V81.9Occupant of railway train or railway vehicle injured in unspecified railway accident
Questions about V81.8
- Is V81.8 a billable ICD-10-CM code?
- No. V81.8 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does V81.8 sit in the tabular list?
- External causes of morbidity (V00-Y99), in the block Other land transport accidents (V80-V89).