ICD-10-CM 2027 diagnosis code
V81.8Occupant of railway train or railway vehicle injured in other specified railway accidents
V81.8 is a header code, so it can't be reported by itself. Choose one of the 4 more specific codes beneath it and add the required 7th character.Short description: Occupant of rail trn/veh injured in oth railway accidents
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 V81.8
V81.8 is the ICD-10-CM diagnosis code for occupant of railway train or railway vehicle injured in other specified railway accidents. 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 a header code, so it can't be reported by itself; one of its 4 subcodes must be used instead.
Within V81, choose V81.8 (Occupant of railway train or railway vehicle injured in other specified railway accidents) only when documentation doesn't support a more specific option: occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident (V81.0), occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident (V81.1), occupant of railway train or railway vehicle injured in collision with or hit by rolling stock (V81.2), occupant of railway train or railway vehicle injured in collision with other object (V81.3), person injured while boarding or alighting from railway train or railway vehicle (V81.4), occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle (V81.5), occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle (V81.6), occupant of railway train or railway vehicle injured in derailment without antecedent collision (V81.7) and 1 more.
Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
7th character
The appropriate 7th character is to be added to each code from category V81
- 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
- Ainitial encounter
- Dsubsequent encounter
- Ssequela
Notes that apply from higher levels
Instructions written at a parent level also apply to V81.8.
› 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.
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 V81.8
Is V81.8 billable?
- No. V81.8 is a header code. Report one of its more specific subcodes instead.