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ICD-10 Guide
ICD-10 CodesV45.6

V45.6

Billable

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

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

Code Description

ICD-10 V45.6 is a billable code used to indicate a diagnosis of car passenger injured in collision with railway train or railway vehicle in traffic accident.

Key Diagnostic Point:

The ICD-10 code V45.6 is used to classify injuries sustained by car passengers involved in collisions with railway trains or railway vehicles during traffic accidents. This code is crucial for accurately documenting the external causes of morbidity and mortality related to such incidents. In clinical practice, it is essential to capture the circumstances surrounding the injury, including the type of vehicle involved and the nature of the collision. This code is particularly relevant in emergency medicine and trauma surgery settings, where timely and precise documentation can influence treatment decisions and resource allocation. Accurate coding of V45.6 helps in understanding the epidemiology of traffic-related injuries and can inform public health initiatives aimed at reducing such incidents. It is important to note that this code should only be used when the passenger is injured specifically in a collision with a railway vehicle, distinguishing it from other types of traffic accidents.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the accident circumstances
  • Differentiation from other traffic accident codes
  • Potential for multiple injuries requiring additional codes
  • Variability in reporting standards across healthcare settings

Audit Risk Factors

  • Inadequate documentation of the accident details
  • Misclassification of the type of vehicle involved
  • Failure to capture all injuries sustained
  • Inconsistent coding practices across different providers

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly document the mechanism of injury, including details about the collision with the railway vehicle.

Common Clinical Scenarios

Patients presenting with trauma after being a passenger in a vehicle that collided with a train.

Billing Considerations

Ensure that all injuries are documented, as multiple injuries may require additional codes.

Trauma Surgery

Documentation Requirements

Trauma assessments must include a detailed account of the incident, including the type of railway vehicle and the impact.

Common Clinical Scenarios

Trauma cases involving significant injuries from train collisions.

Billing Considerations

Consider the need for additional codes to capture all injuries sustained during the incident.

Coding Guidelines

Inclusion Criteria

Use V45.6 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • 6 should be reported only when the passenger is injured in a collision with a railway vehicle, and it should be accompanied by the specific injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V45.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99284CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with significant injuries from a train collision.

Documentation Requirements

Detailed documentation of the patient's condition and the mechanism of injury.

Specialty Considerations

Emergency medicine providers should ensure that the visit level reflects the complexity of the case.

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 those related to railway vehicle collisions. This specificity enhances data collection for public health and safety initiatives.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to railway vehicle collisions. This specificity enhances data collection for public health and safety initiatives.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes of injuries, including those related to railway vehicle collisions. This specificity enhances data collection for public health and safety 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 V45.6 be used?

V45.6 should be used when documenting injuries sustained by a car passenger specifically in a collision with a railway train or vehicle during a traffic accident.