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ICD-10/V81.1XXA

V81.1XXA ICD-10-CM Code: Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.

Official Registry Overview & Definition

Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V81.1A).

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for V81.1XXA in the official ICD-10-CM tabular list.

Includes

Conditions the official ICD-10-CM tabular list includes under this code.

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

Excludes1 — Not Coded Here

Conditions that can never be reported with this code; the two are mutually exclusive.

  • Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83)
  • streetcar (V82.-)

Frequently Asked Questions (FAQ) & Clinical Guidance

Does V81.1XXA require a 7th character?

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

Nearest Codes in This Family

Official ICD-10-CM classifications closest to V81.1XXA in its code family, with their registry titles.

  • V81.0 — Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
  • V81.0XXA — Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, initial encounter
  • V81.0XXD — Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, subsequent encounter
  • V81.0XXS — Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, sequela
  • V81.1 — Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
  • V81.1XXD — Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, subsequent encounter
  • V81.1XXS — Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, sequela
  • V81.2 — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock
  • V81.2XXA — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, initial encounter
  • V81.2XXD — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, subsequent encounter

View all codes in the V81 family