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ICD-10/V45.4XXD

V45.4XXD ICD-10-CM Code: Person boarding or alighting a car injured in collision with railway train or railway vehicle, subsequent encounter

V45.4XXD is the authoritative medical code for Person boarding or alighting a car injured in collision with railway train or railway vehicle, subsequent encounter. This classification is used in medical billing and clinical recording to specify the clinical criteria for person boarding or alighting a car injured in collision with railway train or railway vehicle, subsequent encounter (ICD-10-CM V45.4XXD), ensuring healthcare documentation aligns with current federal coding standards.

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

Person boarding or alighting a car injured in collision with railway train or railway vehicle, subsequent encounter is a billable ICD-10-CM diagnosis code (V45.4D). 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.

Official Tabular Instructional Notes

Sequencing, inclusion, and exclusion notes published for V45.4XXD 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 V45.4XXD require a 7th character?

Yes. The appropriate 7th character is to be added to each code from category V45.

What can't be coded together with V45.4XXD?

Per official ICD-10-CM Excludes1 instructions, V45.4XXD must not be reported together with: bus (V50-V59); minibus (V50-V59); minivan (V50-V59); motorcoach (V70-V79).

Nearest Codes in This Family

Official ICD-10-CM classifications closest to V45.4XXD in its code family, with their registry titles.

  • 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
  • V45.4XXS — 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

View all codes in the V45 family