V65.4XXA is the authoritative medical code for Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, initial encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, initial encounter (ICD-10-CM V65.4XXA), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Official Registry Overview & Definition
Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, initial encounter is a billable ICD-10-CM diagnosis code V65.4A. Includes: 18 wheeler; armored car; panel truck. Excludes1 (not coded here): bus; motorcoach. 7th character: The appropriate 7th character is to be added to each code from category V65.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V65.4XXA in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- 18 wheeler
- armored car
- panel truck
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
Frequently Asked Questions (FAQ) & Clinical Guidance
Does V65.4XXA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V65.
What can't be coded together with V65.4XXA?
Per official ICD-10-CM Excludes1 instructions, V65.4XXA must not be reported together with: bus; motorcoach.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V65.4XXA in its code family, with their registry titles.
- V65 — Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle
- V65.0 — Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
- V65.1 — Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
- V65.2 — Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
- V65.3 — Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident
- V65.4 — Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle
- V65.5 — Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident
- V65.6 — Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident
- V65.7 — Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident
- V65.9 — Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident