Car occupant injured in collision with railway train or railway vehicle (V45)
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.
- V45 - Car occupant injured in collision with railway train o
- V45.0 - Car driver injured in collision with railway train o
- V45.1 - Car passenger injured in collision with railway trai
- V45.2 - Person on outside of car injured in collision with r
- V45.3 - Unspecified car occupant injured in collision with r
- V45.4 - Person boarding or alighting a car injured in collis
- V45.5 - Car driver injured in collision with railway train o
- V45.6 - Car passenger injured in collision with railway trai
- V45.7 - Person on outside of car injured in collision with r
- V45.9 - Unspecified car occupant injured in collision with r
External causes of morbidity and mortality (V01–Y99)
Car occupant injured in transport accident (V40-V49)
V45 Car occupant injured in collision with railway train or railway vehicle
V45.0 Car driver injured in collision with railway train or railway vehicle in nontraffic accident
- V45.0XXA Car driver injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V45.0XXD Car driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.0XXS Car driver injured in collision with railway train or railway vehicle in nontraffic accident, sequela
V45.1 Car passenger injured in collision with railway train or railway vehicle in nontraffic accident
- V45.1XXA Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V45.1XXD Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.1XXS Car passenger injured in collision with railway train or railway vehicle in nontraffic accident, sequela
V45.2 Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident
- V45.2XXA Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V45.2XXD Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.2XXS Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident, sequela
V45.3 Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident
- V45.3XXA Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
- V45.3XXD Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.3XXS Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, sequela
V45.4 Person boarding or alighting a car injured in collision with railway train or railway vehicle
- V45.4XXA Person boarding or alighting a car injured in collision with railway train or railway vehicle, initial encounter
- V45.4XXD Person boarding or alighting a car injured in collision with railway train or railway vehicle, subsequent encounter
- V45.4XXS Person boarding or alighting a car injured in collision with railway train or railway vehicle, sequela
V45.5 Car driver injured in collision with railway train or railway vehicle in traffic accident
- V45.5XXA Car driver injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V45.5XXD Car driver injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V45.5XXS Car driver injured in collision with railway train or railway vehicle in traffic accident, sequela
V45.6 Car passenger injured in collision with railway train or railway vehicle in traffic accident
- V45.6XXA Car passenger injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V45.6XXD Car passenger injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V45.6XXS Car passenger injured in collision with railway train or railway vehicle in traffic accident, sequela
V45.7 Person on outside of car injured in collision with railway train or railway vehicle in traffic accident
- V45.7XXA Person on outside of car injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V45.7XXD Person on outside of car injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V45.7XXS Person on outside of car injured in collision with railway train or railway vehicle in traffic accident, sequela
V45.9 Unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident
- V45.9XXA Unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident, initial encounter
- V45.9XXD Unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V45.9XXS Unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident, sequela
Car occupant injured in collision with railway train or railway vehicle (V45)
Instructional Notations
7th Character Note
Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
- The appropriate 7th character is to be added to each code from category V45
7th Character
Indicates that a seventh character is to be assigned to codes in a subcategory.
- A - initial encounter
- D - subsequent encounter
- S - sequela
