V81.2 is the authoritative medical code for Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock. This classification is used in medical billing and clinical recording to specify the clinical criteria for occupant of railway train or railway vehicle injured in collision with or hit by rolling stock (ICD-10-CM V81.2), ensuring healthcare documentation aligns with 2026 federal coding standards.
Billing Status: NO. This is a clinician non-billable / parent hierarchy grouping in the ICD-10-CM system.
Official Registry Overview & Definition
Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock is a non-billable ICD-10-CM category code V81.2. 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.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V81.2 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.
Frequently Asked Questions (FAQ) & Clinical Guidance
Can V81.2 be billed directly?
No. V81.2 (Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does V81.2 require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V81.
What can't be coded together with V81.2?
Per Excludes1 instructions, V81.2 must not be reported with: streetcar (V82.-).
Codes in This Family (3)
Official ICD-10-CM classifications in the same code family as V81.2, with their registry titles.
- V81.2A — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, initial encounter
- V81.2D — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, subsequent encounter
- V81.2S — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, sequela
Indexed As (1)
Circumstance phrases from the official ICD-10-CM External Cause of Injuries Index that map to this code.
- Accident (to), transport (involving injury to), railway vehicle occupant, collision (with), rolling stock
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 V76.2
Person on outside of bus injured in collision with other nonmotor vehicle in nontraffic accident
ICD Code V77.2
Person on outside of bus injured in collision with fixed or stationary object in nontraffic accident
ICD Code V78.2
Person on outside of bus injured in noncollision transport accident in nontraffic accident
ICD Code V79.2
Unspecified bus occupant injured in collision with other and unspecified motor vehicles in nontraffic accident
ICD Code V80.2
Animal-rider or occupant of animal-drawn vehicle injured in collision with pedal cycle
ICD Code V82.2
Occupant of streetcar injured in collision with or hit by rolling stock
ICD Code V83.2
Person on outside of special industrial vehicle injured in traffic accident
ICD Code V84.2
Person on outside of special agricultural vehicle injured in traffic accident
ICD Code V85.2
Person on outside of special construction vehicle injured in traffic accident
ICD Code V86.2
Person on outside of special all-terrain or other off-road motor vehicle injured in traffic accident