V81.9XXA — Occupant of railway train or railway vehicle injured in unspecified railway accident, initial encounter
Is V81.9XXA billable?
Yes, but V81.9XXA is an unspecified code. V81.9XXA is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, V81.9XXA is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting V81.9XXA — the more specific alternatives are listed below.
More specific alternatives
- V81.0XXAOccupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, initial encounter
- V81.1XXAOccupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounter
- V81.2XXAOccupant of railway train or railway vehicle injured in collision with or hit by rolling stock, initial encounter
- V81.3XXAOccupant of railway train or railway vehicle injured in collision with other object, initial encounter
- V81.4XXAPerson injured while boarding or alighting from railway train or railway vehicle, initial encounter
- V81.5XXAOccupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, initial encounter
- V81.6XXAOccupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, initial encounter
- V81.7XXAOccupant of railway train or railway vehicle injured in derailment without antecedent collision, initial encounter
V81.9XXA at a glance
| Code | V81.9XXA |
|---|---|
| Description | Occupant of railway train or railway vehicle injured in unspecified railway 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 V81.9XXA?
In V81.9XXA, the 7th character A means initial encounter. The 7th character is required for V81.9XXA to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
How is V81.9XXA listed in the External Cause Index?
The External Cause of Injuries Index lists these routes under V81.9, the nearest indexed parent of V81.9XXA. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.
- Accident › transport › railway vehicle occupant (to)
- Found injured › on › railway right of way
Inclusion terms
Alternative wording in documentation that is classified to V81.9XXA.
- Railway accident NOS
Excludes1 — never code together — inherited from V81
The conditions below can never be reported together with V81.9XXA 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.-)
How long has V81.9XXA existed?
V81.9XXA 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.