V81.4XXA ICD-10-CM Code: Person injured while boarding or alighting from railway train or railway vehicle, 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
Person injured while boarding or alighting from railway train or railway vehicle, initial encounter is a billable ICD-10-CM diagnosis code (V81.4A).
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V81.4XXA 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.
- streetcar (V82.-)
Frequently Asked Questions (FAQ) & Clinical Guidance
Does V81.4XXA 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 V81.4XXA in its code family, with their registry titles.
- V81.3 — Occupant of railway train or railway vehicle injured in collision with other object
- V81.3XXA — Occupant of railway train or railway vehicle injured in collision with other object, initial encounter
- V81.3XXD — Occupant of railway train or railway vehicle injured in collision with other object, subsequent encounter
- V81.3XXS — Occupant of railway train or railway vehicle injured in collision with other object, sequela
- V81.4 — Person injured while boarding or alighting from railway train or railway vehicle
- V81.4XXD — Person injured while boarding or alighting from railway train or railway vehicle, subsequent encounter
- V81.4XXS — Person injured while boarding or alighting from railway train or railway vehicle, sequela
- V81.5 — Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle
- V81.5XXA — Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, initial encounter
- V81.5XXD — Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, subsequent encounter