V81.89XD
Occupant of railway train or railway vehicle injured due to other specified railway accident, subsequent encounter
V81.89XD (also written V8189XD) is a billable ICD-10-CM diagnosis code for occupant of railway train or railway vehicle injured due to other specified railway accident, subsequent encounter. It is part of the FY2027 code set, effective October 1, 2026. It is one of the 39 codes in category V81 (Occupant of railway train or railway vehicle injured in transport accident). Its 7th character, D, means subsequent encounter. Its coding notes include 1 Excludes1 entry.
7th character
Category V81 requires a 7th character. V81.89 has only 5 characters, so a placeholder X fills the 6th position.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
An external cause code is never a principal or first-listed diagnosis. Its 7th character is assigned for each encounter and should match the injury or condition code.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
Includes
Further defines or gives examples of the content of the category.
- derailment of railway train or railway vehicle
- person on outside of train
Notes
Also from chapter/block level (1 note)
- This chapter permits the classification of environmental events and circumstances as the cause of injury, and other adverse effects. Where a code from this section is applicable, it is intended that it shall be used secondary to a code from another chapter of the Classification indicating the nature of the condition. Most often, the condition will be classifiable to Chapter 19, Injury, poisoning and certain other consequences of external causes (S00-T88). Other conditions that may be stated to be due to external causes are classified in Chapters I to XVIII. For these conditions, codes from Chapter 20 should be used to provide additional information as to the cause of the condition.