DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

V81 Occupant of railway train or railway vehicle injured in transport accident

  • Header · not billable
  • Codes take a 7th character

V81 is not billable. The category heads 39 billable codes in FY2027, grouped under 10 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Where it sits

  1. Chapter 20 External causes of morbidity (V00-Y99)
  2. V80-V89 Other land transport accidents (V80-V89)
  3. V81 Occupant of railway train or railway vehicle injured in transport accident
Billable codes
39
Subdivisions
10
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
0

Codes in V81

  1. V81.0
    Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident +7th: A D S
    Needs 7th characterExempt
    Excludes1 1

    Excludes1

    • Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83) V81.83
  2. V81.1
    Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident +7th: A D S
    Needs 7th characterExempt
    Excludes1 1

    Excludes1

    • Occupant of railway train or railway vehicle injured due to collision with military vehicle (V81.83) V81.83
  3. V81.2
    Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock +7th: A D S
    Needs 7th characterExempt
  4. V81.3
    Occupant of railway train or railway vehicle injured in collision with other object +7th: A D S
    Needs 7th characterExempt
    Inclusion terms 1

    Inclusion terms

    • Railway collision NOS
  5. V81.4
    Person injured while boarding or alighting from railway train or railway vehicle +7th: A D S
    Needs 7th characterExempt
  6. V81.5
    Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle +7th: A D S
    Needs 7th characterExempt
  7. V81.6
    Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle +7th: A D S
    Needs 7th characterExempt
  8. V81.7
    Occupant of railway train or railway vehicle injured in derailment without antecedent collision +7th: A D S
    Needs 7th characterExempt
  9. V81.8
    Occupant of railway train or railway vehicle injured in other specified railway accidents
    Header
  10. V81.81
    Occupant of railway train or railway vehicle injured due to explosion or fire on train +7th: A D S
    Needs 7th characterExempt
  11. V81.82
    Occupant of railway train or railway vehicle injured due to object falling onto train +7th: A D S
    Needs 7th characterExempt
    Inclusion terms 4

    Inclusion terms

    • Occupant of railway train or railway vehicle injured due to falling earth onto train
    • Occupant of railway train or railway vehicle injured due to falling rocks onto train
    • Occupant of railway train or railway vehicle injured due to falling snow onto train
    • Occupant of railway train or railway vehicle injured due to falling trees onto train
  12. V81.83
    Occupant of railway train or railway vehicle injured due to collision with military vehicle +7th: A D S
    Needs 7th characterExempt
  13. V81.89
    Occupant of railway train or railway vehicle injured due to other specified railway accident +7th: A D S
    Needs 7th characterExempt
  14. V81.9
    Occupant of railway train or railway vehicle injured in unspecified railway accident +7th: A D S
    Needs 7th characterExempt
    Inclusion terms 1

    Inclusion terms

    • Railway accident NOS

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

At V81

Includes

  • derailment of railway train or railway vehicle
  • person on outside of train

Excludes1

  • streetcar (V82.-) V82

Notes that also apply

Instructions for the group V00-V99 (Notes 28, Excludes1 5, Excludes2 1, Use additional code 4): printed on the chapter 20 page.

Chapter 20 instructions (Notes 1): printed on the chapter 20 page.

7th characters

7th characters for V81 defined here

The appropriate 7th character is to be added to each code from category V81

7th characters for V81
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Hierarchy