ICD-10-CM 2027 diagnosis code
V81.4XXDPerson injured while boarding or alighting from railway train or railway vehicle, subsequent encounter
V81.4XXD is a valid, billable ICD-10-CM code for person injured while boarding or alighting from railway train or railway vehicle, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Person injured wh brd/alit from rail trn/veh, subs
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 V81.4XXD
V81.4XXD is the ICD-10-CM diagnosis code for person injured while boarding or alighting from railway train or railway vehicle, subsequent encounter. It belongs to category V81 (occupant of railway train or railway vehicle injured in transport accident), block V80-V89 (other land transport accidents) and chapter 20 (external causes of morbidity). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as E804.1 (fall in, on, or from railway train injuring passenger on railway).
7th character
Dsubsequent encounter
Other encounter types for V81.4:
Notes that apply from higher levels
Instructions written at a parent level also apply to V81.4XXD.
› From V81 Occupant of railway train or railway vehicle injured in transport accident
- derailment of railway train or railway vehicle
- person on outside of train
- streetcar (V82.-)
Broader instructions also apply from Chapter 20: External causes of morbidity.
ICD-9-CM equivalent
Converter →- E804.1Fall in, on, or from railway train injuring passenger on railwayapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
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 V81.4XXD
Is V81.4XXD billable?
- Yes. V81.4XXD is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "D" at the end of V81.4XXD mean?
- It is the 7th character for subsequent encounter. Per the official guidelines, use it for encounters after active treatment, while the patient is healing or recovering.
Can V81.4XXD be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict V81.4XXD as a principal diagnosis.
Is V81.4XXD a CC or MCC?
- No. V81.4XXD is neither a CC nor an MCC under MS-DRG v44.0.