ICD-10-CM 2027 diagnosis code
V81Occupant of railway train or railway vehicle injured in transport accident
V81 is a header code, so it can't be reported by itself. Choose one of the 10 more specific codes beneath it.Short description: Occupant of rail trn/veh injured in transport accident
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About V81
V81 is the ICD-10-CM diagnosis code for occupant of railway train or railway vehicle injured in transport accident. It belongs to block V80-V89 (other land transport accidents) and chapter 20 (external causes of morbidity). It is a header code, so it can't be reported by itself; one of its 10 subcodes must be used instead.
To report this condition, pick the subcode that matches the documentation: V81.0 (accident), V81.1 (accident), V81.2 (stock), V81.3 (object), V81.4 (vehicle), V81.5 (vehicle), V81.6 (vehicle), V81.7 (collision) and 2 more.
Don't report V81 together with the conditions in its Excludes1 note: streetcar (V82.-).
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Specific codes under V81
- V81.0Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident
- V81.1Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident
- V81.2Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock
- V81.3Occupant of railway train or railway vehicle injured in collision with other object
- V81.4Person injured while boarding or alighting from railway train or railway vehicle
- V81.5Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle
- V81.6Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle
- V81.7Occupant of railway train or railway vehicle injured in derailment without antecedent collision
- V81.8Occupant of railway train or railway vehicle injured in other specified railway accidents
- V81.81Occupant of railway train or railway vehicle injured due to explosion or fire on train
- V81.82Occupant of railway train or railway vehicle injured due to object falling onto train
- V81.83Occupant of railway train or railway vehicle injured due to collision with military vehicle
- V81.89Occupant of railway train or railway vehicle injured due to other specified railway accident
- V81.9Occupant of railway train or railway vehicle injured in unspecified railway accident
Coding notes
- derailment of railway train or railway vehicle
- person on outside of train
- streetcar (V82.-)
Notes that apply from higher levels
Instructions written at a parent level also apply to V81.
Broader instructions also apply from Chapter 20: External causes of morbidity.
Codes whose notes reference V81
- V82Excludes1
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about V81
Is V81 billable?
- No. V81 is a header code. Report one of its more specific subcodes instead.