V45: Car occupant injured in collision with railway train or railway vehicle

Codes under V45 (Car occupant injured in collision with railway train or railway vehicle). A ✓ marks a billable (fully specified) code; category codes without a ✓ are not billable on their own.

Code	Description	Billable
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	✓

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Informational only, not coding or medical advice. Verify against the official ICD-10-CM (FY2026) and your payer's guidelines.

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