V81.4XXD is the authoritative medical code for Person injured while boarding or alighting from railway train or railway vehicle, subsequent encounter. 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, subsequent encounter (ICD-10-CM V81.4XXD), 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 injured while boarding or alighting from railway train or railway vehicle, subsequent encounter is a billable ICD-10-CM diagnosis code V81.4D. 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 V81.4XXD 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
Does V81.4XXD 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 V81.4XXD?
Per official ICD-10-CM Excludes1 instructions, V81.4XXD must not be reported together with: streetcar (V82.-).
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V81.4XXD in its code family, with their registry titles.
- V81 — Occupant of railway train or railway vehicle injured in transport accident
- V81.0 — Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
- V81.1 — Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
- V81.2 — Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock
- V81.3 — Occupant of railway train or railway vehicle injured in collision with other object
- V81.4 — Person injured while boarding or alighting from railway train or railway vehicle
- V81.5 — Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle
- V81.6 — Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle
- V81.7 — Occupant of railway train or railway vehicle injured in derailment without antecedent collision
- V81.8 — Occupant of railway train or railway vehicle injured in other specified railway accidents
View all 12 codes in the V81 family