2026 ICD-10-CM Diagnosis Code V45Car occupant injured in collision with railway train or railway vehicle

ICD-10-CM Codes›V01–Y99›V00-V99›V45

ICD-10-CM V45
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

V45 is a non-billable ICD-10-CM category code for car occupant injured in collision with railway train or railway vehicle, so it cannot be submitted on claims. Use a more specific code from this category instead, such as V45.0XXA, V45.0XXD, V45.0XXS, and V45.1XXA.

Code Identity

ICD-10-CM Code
V45
Billable Status
No — Non-Billable Category
Code Describes
Car occupant injured in collision with railway train or railway vehicle
Short Description
Car occupant injured in collision w rail trn/veh
Chapter
V00-V99
Transport accidents

Code Classification

ChapterV01–Y99External causes of morbidity and mortality
SectionV00-V99Transport accidents
CategoryV45Car occupant injured in collision with railway train or railway vehicle
This CodeV45Car occupant injured in collision with railway train or railway vehicle

Specific Coding for Car occupant injured in collision w rail trn/vehOverview

Non-specific codes like V45 require more characters. Use one of these billable codes instead:

  • V45.0 for Car driver injured in collision with railway train or railway vehicle in nontraffic accident

  • V45.1 for Car passenger injured in collision with railway train or railway vehicle in nontraffic accident

  • V45.2 for Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident

  • V45.3 for Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident

  • V45.4 for Person boarding or alighting a car injured in collision with railway train or railway vehicle

  • V45.5 for Car driver injured in collision with railway train or railway vehicle in traffic accident

  • V45.6 for Car passenger injured in collision with railway train or railway vehicle in traffic accident

  • V45.7 for Person on outside of car injured in collision with railway train or railway vehicle in traffic accident

  • V45.9 for Unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident

Tabular List NotesGuidance

Coding notes and annotation back-references applicable to this code.

7th Character Note

  • The appropriate 7th character is to be added to each code from category V45

7th Character

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About V45Overview

Is V45 a billable code?

No. This is a category header that groups the codes for car occupant injured in collision with railway train or railway vehicle, and headers cannot be submitted on claims. Claims for car occupant injured in collision with railway train or railway vehicle need a more specific code from this category, such as V45.0XXA, V45.0XXD, and V45.0XXS.