V81.1XXA — Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter
Is V81.1XXA billable?
Yes — V81.1XXA is billable for FY2027. V81.1XXA is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. V81.1XXA may be submitted for encounters from October 1, 2026 through September 30, 2027.
V81.1XXA at a glance
| Code | V81.1XXA |
|---|---|
| Description | Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "A" | initial encounter |
What does the 7th character "A" mean in V81.1XXA?
In V81.1XXA, the 7th character A means initial encounter. The 7th character is required for V81.1XXA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
How is V81.1XXA listed in the External Cause Index?
The External Cause of Injuries Index lists these routes under V81.1, the nearest indexed parent of V81.1XXA. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.
- Accident › transport › railway vehicle occupant › collision › motor vehicle (to)
Excludes1 — never code together
The conditions below can never be reported together with V81.1XXA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83)
Excludes1 — never code together — inherited from V81
The conditions below can never be reported together with V81.1XXA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- streetcar (V82.-)
Excludes1 — never code together — inherited from V81.1
The conditions below can never be reported together with V81.1XXA on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83)
How long has V81.1XXA existed?
V81.1XXA has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.