V65.4XXD is the authoritative medical code for Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, subsequent 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, subsequent encounter (ICD-10-CM V65.4XXD), 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, subsequent encounter is a billable ICD-10-CM diagnosis code V65.4D. 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 V65.4XXD 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 V65.4XXD 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 V65.4XXD?
Per Excludes1 instructions, V65.4XXD must not be reported with: bus; motorcoach.
Codes in This Family (10)
Official ICD-10-CM classifications in the same code family as V65.4XXD, 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
Related Codes & Numerical Sequence (Crawl Map)
Search engines and indexers are advised to traverse adjacent medical codes in this sub-chapter range to find correlated diagnoses or therapeutic procedures:
ICD Code V60.4XXD
Person boarding or alighting a heavy transport vehicle injured in collision with pedestrian or animal, subsequent encounter
ICD Code V61.4XXD
Person boarding or alighting a heavy transport vehicle injured in collision with pedal cycle while boarding or alighting, subsequent encounter
ICD Code V62.4XXD
Person boarding or alighting a heavy transport vehicle injured in collision with two- or three-wheeled motor vehicle, subsequent encounter
ICD Code V63.4XXD
Person boarding or alighting a heavy transport vehicle injured in collision with car, pick-up truck or van, subsequent encounter
ICD Code V64.4XXD
Person boarding or alighting a heavy transport vehicle injured in collision with heavy transport vehicle or bus while boarding or alighting, subsequent encounter
ICD Code V66.4XXD
Person boarding or alighting a heavy transport vehicle injured in collision with other nonmotor vehicle, subsequent encounter
ICD Code V67.4XXD
Person boarding or alighting a heavy transport vehicle injured in collision with fixed or stationary object, subsequent encounter
ICD Code V68.4XXD
Person boarding or alighting a heavy transport vehicle injured in noncollision transport accident, subsequent encounter
ICD Code V70.4XXD
Person boarding or alighting from bus injured in collision with pedestrian or animal, subsequent encounter