V81.7XXDOccupant of railway train or railway vehicle injured in derailment without antecedent collision, subsequent encounter

V81.7XXD is the ICD-10-CM diagnosis code for occupant of railway train or railway vehicle injured in derailment without antecedent collision, subsequent encounter. It belongs to category V81 (occupant of railway train or railway vehicle injured in transport accident), block V80-V89 (other land transport accidents) and chapter 20 (external causes of morbidity). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "D" means subsequent encounter: use it for encounters after active treatment, while the patient is healing or recovering.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as E802.1 (railway accident involving derailment without antecedent collision injuring passenger on railway).