Is ICD-10-CM code V81 billable?

No, V81 (Occupant of railway train or railway vehicle injured in transport accident) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code V81 belong to?

V81 belongs to Chapter 20 of the ICD-10-CM tabular list: V00–Y99 (External Causes of Morbidity).

V81Not billable, use a more specific code below

Occupant of railway train or railway vehicle injured in transport accident

In Other land transport accidents (V80-V89), chapter 20: External Causes of Morbidity

39 billable codes under V81: none are a CC or MCC; none map to an HCC.

Instructional notes

Includes: conditions that are coded here

derailment of railway train or railway vehicle
person on outside of train

Excludes1: not coded here, use a different code

streetcar (V82.-)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers how to report external cause codes (V00-Y99) describing cause, intent, place, activity, and status. They are never principal or first-listed, and reporting is voluntary unless required.

General External Cause Coding Guidelines (page 88)
Place of Occurrence Guideline (page 89)
Activity Code (page 89)
Place of Occurrence, Activity, and Status Codes Used with other External Cause Code (page 89)
If the Reporting Format Limits the Number of External Cause Codes (page 90)
Multiple External Cause Coding Guidelines (page 90)
Child and Adult Abuse Guideline (page 90)
Unknown or Undetermined Intent Guideline (page 91)

Read Section I.C.20 (page 87), 3 more topics

All codes under V81

V81 can't be used on a claim. Pick a billable code below; grey headings group them.

V81 MS-DRGs

This code does not group to an MS-DRG as a principal diagnosis.

Other codes that refer to V81

Notes on these codes point to V81.

V82 Excludes1: train (V81.-)

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.