ICD-10-CM V81: Occupant of railway train or railway vehicle injured in transport accident

ICD-10-CM Diagnosis Code (2025)

Official Description for V81

Occupant of railway train or railway vehicle injured in transport accident

Coding Notes & Guidelines for V81

Includes Notes
  • derailment of railway train or railway vehicle
  • person on outside of train
Excludes1: Not Coded Here

streetcar (V82.-)

Excludes1: Not Coded Here

Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83)

Excludes1: Not Coded Here

Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83)

Inclusion Terms

Railway collision NOS

Inclusion Terms
  • Occupant of railway train or railway vehicle injured due to falling earth onto train
  • Occupant of railway train or railway vehicle injured due to falling rocks onto train
  • Occupant of railway train or railway vehicle injured due to falling snow onto train
  • Occupant of railway train or railway vehicle injured due to falling trees onto train
Inclusion Terms

Railway accident NOS

7th Character Guidance

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

7th Character Definitions
  • A: initial encounter
  • D: subsequent encounter
  • S: sequela

Child Codes (More Specific Codes for V81):

V81.0 - Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident V81.1 - Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident V81.2 - Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock V81.3 - Occupant of railway train or railway vehicle injured in collision with other object V81.4 - Person injured while boarding or alighting from railway train or railway vehicle V81.5 - Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle V81.6 - Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle V81.7 - Occupant of railway train or railway vehicle injured in derailment without antecedent collision V81.8 - Occupant of railway train or railway vehicle injured in other specified railway accidents V81.81 - Occupant of railway train or railway vehicle injured due to explosion or fire on train V81.82 - Occupant of railway train or railway vehicle injured due to object falling onto train V81.83 - Occupant of railway train or railway vehicle injured due to collision with military vehicle V81.89 - Occupant of railway train or railway vehicle injured due to other specified railway accident V81.9 - Occupant of railway train or railway vehicle injured in unspecified railway accident

About ICD-10-CM Code V81 (Occupant of railway train or railway vehicle injured in transport accident)

ICD-10-CM code V81 is a billable or specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2025 edition of ICD-10-CM V81 became effective on October 1, 2024.

This page provides detailed information about V81 - Occupant of railway train or railway vehicle injured in transport accident. It includes common terminology, coding guidelines such as "Includes," "Excludes1," and "Excludes2" notes, and information on required 7th characters. Utilizing this information correctly is essential for accurate medical coding and claims submission for conditions like Occupant of railway train or railway vehicle injured in transport accident.