V45.3XXA ICD-10-CM Code: Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter
Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.
Code Set: Valid FY2026 and FY2027. FY2026 took effect October 1, 2025.
Official Registry Overview & Definition
Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, initial encounter is a billable ICD-10-CM diagnosis code (V45.3A).
Official Tabular Instructional Notes
Sequencing, inclusion, and exclusion notes published for V45.3XXA in the official ICD-10-CM tabular list.
Includes
Conditions the official ICD-10-CM tabular list includes under this code.
- a four-wheeled motor vehicle designed primarily for carrying passengers
- automobile (pulling a trailer or camper)
Excludes1 — Not Coded Here
Conditions that can never be reported with this code; the two are mutually exclusive.
- bus (V50-V59)
- minibus (V50-V59)
- minivan (V50-V59)
- motorcoach (V70-V79)
- pick-up truck (V50-V59)
- sport utility vehicle (SUV) (V50-V59)
Frequently Asked Questions (FAQ) & Clinical Guidance
Does V45.3XXA require a 7th character?
Yes. The appropriate 7th character is to be added to each code from category V45.
Nearest Codes in This Family
Official ICD-10-CM classifications closest to V45.3XXA in its code family, with their registry titles.
- 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
- V45.3XXD — 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