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v1.0.0
ICD-10 Guide
ICD-10 CodesV45.1

V45.1

Billable

Car passenger injured in collision with railway train or railway vehicle in nontraffic accident

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 V45.1 is a billable code used to indicate a diagnosis of car passenger injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V45.1 is used to classify injuries sustained by a car passenger involved in a collision with a railway train or railway vehicle that occurs outside of typical traffic scenarios. This code is particularly relevant in cases where the accident occurs at a railway crossing or in a non-traffic area, such as a parking lot or private property. The injuries can range from minor to severe, depending on the circumstances of the collision, including the speed of the train and the position of the vehicle. Accurate coding of this incident is crucial for understanding the epidemiology of such accidents, facilitating appropriate treatment, and ensuring proper reimbursement for healthcare services rendered. Documentation should include details about the nature of the accident, the location, and the extent of injuries sustained by the passenger.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact circumstances of the accident (nontraffic vs. traffic)
  • Differentiating between types of injuries sustained
  • Understanding the location of the incident (public vs. private property)
  • Ensuring accurate linkage with primary diagnosis codes

Audit Risk Factors

  • Inadequate documentation of the accident's circumstances
  • Misclassification of the accident type (traffic vs. nontraffic)
  • Failure to capture the severity of injuries
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, patient presentation, and any immediate interventions performed.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a train, including lacerations, fractures, or internal injuries.

Billing Considerations

Ensure that all relevant details about the accident are captured to support the use of V45.1.

Trauma Surgery

Documentation Requirements

Operative reports and trauma assessments must detail the nature of injuries and the mechanism of injury.

Common Clinical Scenarios

Surgical intervention for severe injuries resulting from a train collision, including orthopedic or vascular injuries.

Billing Considerations

Accurate coding is essential for trauma registries and quality reporting.

Coding Guidelines

Inclusion Criteria

Use V45.1 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the external cause code is sequenced appropriately after the primary diagnosis code
  • Document the specific circumstances of the accident to support the use of V45

Exclusion Criteria

Do NOT use V45.1 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from a train collision.

Documentation Requirements

Document the patient's condition, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists should ensure thorough documentation to support the level of service billed.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents involving trains, which enhances data collection and analysis for public health initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents involving trains, which enhances data collection and analysis for public health initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including nontraffic accidents involving trains, which enhances data collection and analysis for public health initiatives.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use V45.1?

Use V45.1 when documenting injuries sustained by a car passenger in a collision with a railway train or vehicle in a nontraffic accident, ensuring that the circumstances of the accident are clearly documented.