MCMCB Pro
V81.81XS

V81.81XSOccupant of railway train or railway vehicle injured due to explosion or fire on train, sequela

Billable / specific codeICD-10-CMPOA exempt

V81.81XS is a billable, specific ICD-10-CM code for occupant of railway train or railway vehicle injured due to explosion or fire on train, sequela. It is valid for submission on a claim.

7th character "S" — sequela

The appropriate 7th character is to be added to each code from category V81

A
initial encounter
D
subsequent encounter
S
sequela

Risk adjustment

V81.81XS 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.

Related codes at this level

Codes that share V81.81. If V81.81XS is not quite right, the correct code is usually one of these.

Questions about V81.81XS

Is V81.81XS a billable ICD-10-CM code?
Yes. V81.81XS is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does V81.81XS 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.