ICD-10 · PDGM grouping
V81 Occupant of railway train or railway vehicle injured in transport accident
All 39 codes in the V81 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
39
Can lead a claim
0
Cannot lead a claim
39
What CMS assigns to V81
None of the 39 codes is assigned a clinical group. None of the 39 is assigned a comorbidity subgroup. None can lead a claim.
Every code in V81
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 |
|---|---|---|---|---|
| V81.0 Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident | ||||
| V81.0XXA | Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, initial encounterCMS: Occ of rail trn/veh injured in clsn w mtr veh nontraf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.0XXD | Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, subsequent encounterCMS: Occ of rail trn/veh injured in clsn w mtr veh nontraf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.0XXS | Occupant of railway train or railway vehicle injured in collision with motor vehicle in nontraffic accident, sequelaCMS: Occ of rail trn/veh inj in clsn w mtr veh nontraf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.1 Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident | ||||
| V81.1XXA | Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, initial encounterCMS: Occ of rail trn/veh injured in clsn w mtr veh in traf, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.1XXD | Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, subsequent encounterCMS: Occ of rail trn/veh injured in clsn w mtr veh in traf, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.1XXS | Occupant of railway train or railway vehicle injured in collision with motor vehicle in traffic accident, sequelaCMS: Occ of rail trn/veh inj in clsn w mtr veh in traf, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.2 Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock | ||||
| V81.2XXA | Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, initial encounterCMS: Occ of rail trn/veh inj in collisn/hit by roll stok, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.2XXD | Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, subsequent encounterCMS: Occ of rail trn/veh inj in collisn/hit by roll stok, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.2XXS | Occupant of railway train or railway vehicle injured in collision with or hit by rolling stock, sequelaCMS: Occ of rail trn/veh inj in collisn/hit by roll stok, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.3 Occupant of railway train or railway vehicle injured in collision with other object | ||||
| V81.3XXA | Occupant of railway train or railway vehicle injured in collision with other object, initial encounterCMS: Occupant of rail trn/veh injured in clsn w oth object, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.3XXD | Occupant of railway train or railway vehicle injured in collision with other object, subsequent encounterCMS: Occupant of rail trn/veh injured in clsn w oth object, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.3XXS | Occupant of railway train or railway vehicle injured in collision with other object, sequelaCMS: Occ of rail trn/veh injured in clsn w oth object, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.4 Person injured while boarding or alighting from railway train or railway vehicle | ||||
| V81.4XXA | Person injured while boarding or alighting from railway train or railway vehicle, initial encounterCMS: Person injured wh brd/alit from rail trn/veh, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.4XXD | Person injured while boarding or alighting from railway train or railway vehicle, subsequent encounterCMS: Person injured wh brd/alit from rail trn/veh, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.4XXS | Person injured while boarding or alighting from railway train or railway vehicle, sequelaCMS: Person injured wh brd/alit from rail trn/veh, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.5 Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle | ||||
| V81.5XXA | Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, initial encounterCMS: Occ of rail trn/veh injured by fall in rail trn/veh, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.5XXD | Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, subsequent encounterCMS: Occ of rail trn/veh injured by fall in rail trn/veh, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.5XXS | Occupant of railway train or railway vehicle injured by fall in railway train or railway vehicle, sequelaCMS: Occ of rail trn/veh injured by fall in rail trn/veh, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.6 Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle | ||||
| V81.6XXA | Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, initial encounterCMS: Occ of rail trn/veh injured by fall from rail trn/veh, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.6XXD | Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, subsequent encounterCMS: Occ of rail trn/veh injured by fall from rail trn/veh, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.6XXS | Occupant of railway train or railway vehicle injured by fall from railway train or railway vehicle, sequelaCMS: Occ of rail trn/veh inj by fall from rail trn/veh, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.7 Occupant of railway train or railway vehicle injured in derailment without antecedent collision | ||||
| V81.7XXA | Occupant of railway train or railway vehicle injured in derailment without antecedent collision, initial encounterCMS: Occ of rail trn/veh inj in derail w/o antecedent clsn, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.7XXD | Occupant of railway train or railway vehicle injured in derailment without antecedent collision, subsequent encounterCMS: Occ of rail trn/veh inj in derail w/o antecedent clsn, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.7XXS | Occupant of railway train or railway vehicle injured in derailment without antecedent collision, sequelaCMS: Occ of rail trn/veh inj in derail w/o antecedent clsn, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.8 Occupant of railway train or railway vehicle injured in other specified railway accidents | ||||
| V81.81 Occupant of railway train or railway vehicle injured due to explosion or fire on train | ||||
| V81.81XA | Occupant of railway train or railway vehicle injured due to explosion or fire on train, initial encounterCMS: Occ of rail trn/veh inj d/t explosn or fire on train, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.81XD | Occupant of railway train or railway vehicle injured due to explosion or fire on train, subsequent encounterCMS: Occ of rail trn/veh inj d/t explosn or fire on train, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.81XS | Occupant of railway train or railway vehicle injured due to explosion or fire on train, sequelaCMS: Occ of rail trn/veh inj d/t explosn or fire on train, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.82 Occupant of railway train or railway vehicle injured due to object falling onto train | ||||
| V81.82XA | Occupant of railway train or railway vehicle injured due to object falling onto train, initial encounterCMS: Occ of rail trn/veh inj due to object fall onto train, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.82XD | Occupant of railway train or railway vehicle injured due to object falling onto train, subsequent encounterCMS: Occ of rail trn/veh inj due to object fall onto train, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.82XS | Occupant of railway train or railway vehicle injured due to object falling onto train, sequelaCMS: Occ of rail trn/veh inj due to object fall onto train, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.83 Occupant of railway train or railway vehicle injured due to collision with military vehicle | ||||
| V81.83XA | Occupant of railway train or railway vehicle injured due to collision with military vehicle, initial encounterCMS: Occ of rail trn/veh inj due to clsn w miltry vehicle, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.83XD | Occupant of railway train or railway vehicle injured due to collision with military vehicle, subsequent encounterCMS: Occ of rail trn/veh inj due to clsn w miltry vehicle, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.83XS | Occupant of railway train or railway vehicle injured due to collision with military vehicle, sequelaCMS: Occ of rail trn/veh inj due to clsn w miltry vehicle, sqla | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.89 Occupant of railway train or railway vehicle injured due to other specified railway accident | ||||
| V81.89XA | Occupant of railway train or railway vehicle injured due to other specified railway accident, initial encounterCMS: Occ of rail trn/veh injured due to oth railway acc, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.89XD | Occupant of railway train or railway vehicle injured due to other specified railway accident, subsequent encounterCMS: Occ of rail trn/veh injured due to oth railway acc, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.89XS | Occupant of railway train or railway vehicle injured due to other specified railway accident, sequelaCMS: Occ of rail trn/veh injured due to oth railway acc, sequela | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.9 Occupant of railway train or railway vehicle injured in unspecified railway accident | ||||
| V81.9XXA | Occupant of railway train or railway vehicle injured in unspecified railway accident, initial encounterCMS: Occupant of rail trn/veh injured in unsp railway acc, init | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.9XXD | Occupant of railway train or railway vehicle injured in unspecified railway accident, subsequent encounterCMS: Occupant of rail trn/veh injured in unsp railway acc, subs | Cannot lead a claimExternal cause of injury code not reportable as principal diagnosis | None | None |
| V81.9XXS | Occupant of railway train or railway vehicle injured in unspecified railway accident, sequelaCMS: Occ of rail trn/veh injured in unsp railway acc, 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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