{"code":"V45.4","type":"category","title":"Person boarding or alighting a car injured in collision with railway train or railway vehicle","codeAlso":[],"includes":["a four-wheeled motor vehicle designed primarily for carrying passengers","automobile (pulling a trailer or camper)"],"modern_v":"official26","codeFirst":[],"excludes1":["bus (V50-V59)","minibus (V50-V59)","minivan (V50-V59)","motorcoach (V70-V79)","pick-up truck (V50-V59)","sport utility vehicle (SUV) (V50-V59)"],"excludes2":[],"isBillable":false,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":false,"billableFy2027":false},"sibling_codes":["V45.4XXA","V45.4XXD","V45.4XXS"],"inclusionTerms":[],"sibling_titles":{"code":"V45.4XXS","title":"Person boarding or alighting a car injured in collision with railway train or railway vehicle, sequela","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Person boarding or alighting a car injured in collision with railway train or railway vehicle is a non-billable ICD-10-CM category code (V45.4). A more specific billable subcode must be selected for claims submission. Includes: a four-wheeled motor vehicle designed primarily for carrying passengers; automobile (pulling a trailer or camper).","officialDefinition":"Person boarding or alighting a car injured in collision with railway train or railway vehicle is a non-billable ICD-10-CM category code (V45.4). A more specific billable subcode must be selected for claims submission. Includes: a four-wheeled motor vehicle designed primarily for carrying passengers; automobile (pulling a trailer or camper). Excludes1 (not coded here): bus (V50-V59); minibus (V50-V59); minivan (V50-V59); motorcoach (V70-V79); pick-up truck (V50-V59); sport utility vehicle (SUV) (V50-V59). 7th character: The appropriate 7th character is to be added to each code from category V45.","seventhCharacterInstructions":["The appropriate 7th character is to be added to each code from category V45"],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"bus (V50-V59)":"V45","minibus (V50-V59)":"V45","minivan (V50-V59)":"V45","motorcoach (V70-V79)":"V45","pick-up truck (V50-V59)":"V45","sport utility vehicle (SUV) (V50-V59)":"V45","a four-wheeled motor vehicle designed primarily for carrying passengers":"V45","automobile (pulling a trailer or camper)":"V45"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[]}}