ICD-10-CM category
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 | — |
| V45.0 | 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 | ✓ |
| V45.0XXA | 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 | ✓ |
| V45.0XXD | 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 | ✓ |
| V45.0XXS | 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 | — |
| V45.1 | 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 | ✓ |
| V45.1XXA | 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 | ✓ |
| V45.1XXD | 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 | ✓ |
| V45.1XXS | 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 | — |
| V45.2 | 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 | ✓ |
| V45.2XXA | 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 | ✓ |
| V45.2XXD | 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 | ✓ |
| V45.2XXS | 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 | — |
| V45.3 | 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 | ✓ |
| V45.3XXA | 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 | ✓ |
| V45.3XXD | 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 | ✓ |
| V45.3XXS | 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 | — |
| V45.4 | 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 | ✓ |
| V45.4XXA | 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 | ✓ |
| V45.4XXD | 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 | ✓ |
| V45.4XXS | 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 | — |
| V45.5 | 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 | ✓ |
| V45.5XXA | 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 | ✓ |
| V45.5XXD | 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 | ✓ |
| V45.5XXS | 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 | — |
| V45.6 | 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 | ✓ |
| V45.6XXA | 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 | ✓ |
| V45.6XXD | 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 | ✓ |
| V45.6XXS | 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 | — |
| V45.7 | 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 | ✓ |
| V45.7XXA | 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 | ✓ |
| V45.7XXD | 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 | ✓ |
| V45.7XXS | 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 | — |
| V45.9 | 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 | ✓ |
| V45.9XXA | 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 | ✓ |
| V45.9XXD | 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 | ✓ |
| V45.9XXS | Unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident, sequela | ✓ |
Frequently asked questions
What is ICD-10-CM code V45?
V45 is an ICD-10-CM category covering Car occupant injured in collision with railway train or railway vehicle. It contains 72 more specific diagnosis codes, 54 of which are billable.
Is V45 a billable code?
No — V45 is a category header and isn't billable on its own. Code to the highest level of specificity using one of its subcodes (for example V45.0 — Car driver injured in collision with railway train or railway vehicle in nontraffic accident). 54 of the 72 codes under V45 are billable.
What codes fall under V45?
V45 includes V45.0, V45.0, V45.0XXA, V45.0XXA, V45.0XXD, plus 67 more. See the full list with descriptions and billable status above.
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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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