V81.4 is the authoritative medical code for Person injured while boarding or alighting from railway train or railway vehicle. This classification is used in medical billing and clinical recording to specify the clinical criteria for person injured while boarding or alighting from railway train or railway vehicle (ICD-10-CM V81.4), 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
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.
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V81.4 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 V81.4 be billed directly?
No. V81.4 (Person injured while boarding or alighting from railway train or railway vehicle) is a non-billable ICD-10-CM category code. A more specific billable subcode must be selected based on clinical documentation.
Does V81.4 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 V81.4?
Per Excludes1 instructions, V81.4 must not be reported with: streetcar (V82.-).
Indexed As (4)
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, fall (in railway vehicle), while boarding or alighting
- Accident (to), transport (involving injury to), railway vehicle occupant, while boarding or alighting
- Fall, falling (accidental), from, off, out of, train NEC, while boarding or alighting
- Fall, falling (accidental), in, on, train (without antecedent collision), while boarding or alighting
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 V76.4
Person boarding or alighting from bus injured in collision with other nonmotor vehicle
ICD Code V77.4
Person boarding or alighting from bus injured in collision with fixed or stationary object
ICD Code V78.4
Person boarding or alighting from bus injured in noncollision transport accident
ICD Code V79.4
Driver of bus injured in collision with other and unspecified motor vehicles in traffic accident
ICD Code V80.4
Animal-rider or occupant of animal-drawn vehicle injured in collision with car, pick-up truck, van, heavy transport vehicle or bus
ICD Code V82.4
Person injured while boarding or alighting from streetcar
ICD Code V83.4
Person injured while boarding or alighting from special industrial vehicle
ICD Code V84.4
Person injured while boarding or alighting from special agricultural vehicle
ICD Code V85.4
Person injured while boarding or alighting from special construction vehicle
ICD Code V86.4
Person injured while boarding or alighting from special all-terrain or other off-road motor vehicle