ICD-10 · PDGM grouping
V65 Occupant of heavy transport vehicle injured in collision with railway train or railway vehicle
All 27 codes in the V65 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
27
Can lead a claim
0
Cannot lead a claim
27
What CMS assigns to V65
None of the 27 codes is assigned a clinical group. None of the 27 is assigned a comorbidity subgroup. None can lead a claim.
Every code in V65
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| V65.0 Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident | ||||
| V65.0XXA | Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounterCMS: Driver of hv veh inj in clsn w rail trn/veh nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.0XXD | Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounterCMS: Driver of hv veh inj in clsn w rail trn/veh nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.0XXS | Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequelaCMS: Driver of hv veh inj in clsn w rail trn/veh nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.1 Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident | ||||
| V65.1XXA | Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounterCMS: Pasngr in hv veh inj in clsn w rail trn/veh nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.1XXD | Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounterCMS: Pasngr in hv veh inj in clsn w rail trn/veh nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.1XXS | Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequelaCMS: Pasngr in hv veh inj in clsn w rail trn/veh nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.2 Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident | ||||
| V65.2XXA | Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounterCMS: Person outsd hv veh inj in clsn w rail trn/veh nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.2XXD | Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounterCMS: Person outsd hv veh inj in clsn w rail trn/veh nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.2XXS | Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequelaCMS: Person outsd hv veh inj in clsn w rail trn/veh nontraf, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.3 Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident | ||||
| V65.3XXA | Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, initial encounterCMS: Occup of hv veh injured in clsn w rail trn/veh nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.3XXD | Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounterCMS: Occup of hv veh injured in clsn w rail trn/veh nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.3XXS | Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in nontraffic accident, sequelaCMS: Occup of hv veh inj in clsn w rail trn/veh nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.4 Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle | ||||
| V65.4XXA | Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, initial encounterCMS: Prsn brd/alit hv veh injured in clsn w rail trn/veh, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.4XXD | Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, subsequent encounterCMS: Prsn brd/alit hv veh injured in clsn w rail trn/veh, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.4XXS | Person boarding or alighting a heavy transport vehicle injured in collision with railway train or railway vehicle, sequelaCMS: Prsn brd/alit hv veh injured in clsn w rail trn/veh, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.5 Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident | ||||
| V65.5XXA | Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounterCMS: Driver of hv veh inj in clsn w rail trn/veh in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.5XXD | Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounterCMS: Driver of hv veh inj in clsn w rail trn/veh in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.5XXS | Driver of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequelaCMS: Driver of hv veh inj in clsn w rail trn/veh in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.6 Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident | ||||
| V65.6XXA | Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounterCMS: Pasngr in hv veh inj in clsn w rail trn/veh in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.6XXD | Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounterCMS: Pasngr in hv veh inj in clsn w rail trn/veh in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.6XXS | Passenger in heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequelaCMS: Pasngr in hv veh inj in clsn w rail trn/veh in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.7 Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident | ||||
| V65.7XXA | Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounterCMS: Person outsd hv veh inj in clsn w rail trn/veh in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.7XXD | Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounterCMS: Person outsd hv veh inj in clsn w rail trn/veh in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.7XXS | Person on outside of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequelaCMS: Person outsd hv veh inj in clsn w rail trn/veh in traf, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.9 Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident | ||||
| V65.9XXA | Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, initial encounterCMS: Occup of hv veh injured in clsn w rail trn/veh in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.9XXD | Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, subsequent encounterCMS: Occup of hv veh injured in clsn w rail trn/veh in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V65.9XXS | Unspecified occupant of heavy transport vehicle injured in collision with railway train or railway vehicle in traffic accident, sequelaCMS: Occup of hv veh inj in clsn w rail trn/veh in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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