ICD-10-CM 2027 diagnosis code
V81.81XDOccupant of railway train or railway vehicle injured due to explosion or fire on train, subsequent encounter
V81.81XD is a valid, billable ICD-10-CM code for occupant of railway train or railway vehicle injured due to explosion or fire on train, subsequent encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Occ of rail trn/veh inj d/t explosn or fire on train, 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 V81.81XD
V81.81XD is the ICD-10-CM diagnosis code for occupant of railway train or railway vehicle injured due to explosion or fire on train, 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 E803.1 (railway accident involving explosion, fire, or burning injuring passenger on railway).
7th character
Dsubsequent encounter
Other encounter types for V81.81:
Notes that apply from higher levels
Instructions written at a parent level also apply to V81.81XD.
› 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 →- E803.1Railway accident involving explosion, fire, or burning 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 V81.81XD
Is V81.81XD billable?
- Yes. V81.81XD 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 V81.81XD 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 V81.81XD be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict V81.81XD as a principal diagnosis.
Is V81.81XD a CC or MCC?
- No. V81.81XD is neither a CC nor an MCC under MS-DRG v44.0.