{"code":"V81.4","type":"category","title":"Person injured while boarding or alighting from railway train or railway vehicle","codeAlso":[],"includes":["derailment of railway train or railway vehicle","person on outside of train"],"modern_v":"official26","codeFirst":[],"excludes1":["streetcar (V82.-)"],"excludes2":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["V81.4XXA","V81.4XXD","V81.4XXS"],"inclusionTerms":[],"sibling_titles":{"code":"V81.4XXS","title":"Person injured while boarding or alighting from railway train or railway vehicle, sequela","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Person injured while boarding or alighting from railway train or railway vehicle is a non-billable ICD-10-CM category code (V81.4). A more specific billable subcode must be selected for claims submission. Includes: derailment of railway train or railway vehicle; person on outside of train. Excludes1 (not coded here): streetcar (V82.-). 7th character: The appropriate 7th character is to be added to each code from category V81.","officialDefinition":"Person injured while boarding or alighting from railway train or railway vehicle is a non-billable ICD-10-CM category code (V81.4). A more specific billable subcode must be selected for claims submission. Includes: derailment of railway train or railway vehicle; person on outside of train. Excludes1 (not coded here): streetcar (V82.-). 7th character: The appropriate 7th character is to be added to each code from category V81.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category V81"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"streetcar (V82.-)":"V81","derailment of railway train or railway vehicle":"V81","person on outside of train":"V81"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}