Car occupant injured in collision with railway train or railway vehicle (V45) ICD-10-CM

About the V45 Code Range

The ICD-10 code V45 group is used to classify injuries sustained by car occupants during collisions with railway trains or railway vehicles. These codes specify the type of occupant involved—such as drivers, passengers, or persons outside the car—and further distinguish whether the incident was a traffic or nontraffic accident as well as the phase of care like initial encounter, subsequent encounter, or sequela.

This section helps medical coders accurately document and report injuries from crashes involving cars and trains, clarifying roles like car driver or car passenger and conditions of injury care. For example, V45.0XXA codes for a car driver injured in a nontraffic collision with a railway train during the initial medical encounter. Similarly, V45.5XXA refers to a car driver injured in a traffic collision with a railway vehicle. Including details like whether the injury occurred while boarding or alighting (V45.4) or involved a person outside the vehicle (V45.2 or V45.7) ensures precise coding. These long-tail ICD-10 codes are essential for distinguishing injury scenarios in car-railway collisions, facilitating appropriate treatment and reporting.