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v1.0.0
ICD-10 Guide
ICD-10 CodesV45.0

V45.0

Billable

Car driver 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 V45.0 is a billable code used to indicate a diagnosis of car driver injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V45.0 is used to classify injuries sustained by a car driver 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 collision does not occur on a public roadway, such as in a parking lot, private property, or other non-traffic environments. The injuries can range from minor to severe, including fractures, lacerations, or traumatic brain injuries, depending on the nature of the collision. 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 clearly indicate the circumstances of the accident, including the location and contributing factors, to support the use of this specific external cause code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Determining the exact location of the accident (non-traffic vs. traffic)
  • Differentiating between types of railway vehicles involved
  • Documenting the severity of injuries accurately
  • Understanding the context of the accident (e.g., was the driver on private property?)

Audit Risk Factors

  • Inadequate documentation of the accident's location
  • Failure to specify the type of railway vehicle involved
  • Misclassification of the accident as a traffic incident
  • Lack of detail regarding the nature of injuries sustained

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should include a detailed account of the accident, including the mechanism of injury and any pre-existing conditions.

Common Clinical Scenarios

Patients presenting with trauma after a collision with a train while driving on private property.

Billing Considerations

Ensure that the documentation reflects the non-traffic nature of the accident to support the use of V45.0.

Trauma Surgery

Documentation Requirements

Operative reports must detail the injuries sustained and the circumstances of the accident, including any surgical interventions performed.

Common Clinical Scenarios

Trauma cases involving severe injuries from a collision with a train, requiring surgical intervention.

Billing Considerations

Accurate coding is essential for trauma registries and for tracking injury patterns related to railway incidents.

Coding Guidelines

Inclusion Criteria

Use V45.0 When
  • According to the ICD
  • CM coding guidelines, external cause codes should be used in conjunction with the primary diagnosis code
  • It is essential to report the external cause code to provide context for the injury and to comply with coding requirements

Exclusion Criteria

Do NOT use V45.0 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 to the emergency department after a collision with a railway vehicle.

Documentation Requirements

Document the nature of the injury, treatment provided, and any consultations.

Specialty Considerations

Emergency medicine specialists should ensure that the visit is coded accurately based on the severity of the injuries.

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, improving data accuracy and facilitating better tracking of injury patterns related to railway incidents.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns related to railway incidents.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of external causes, improving data accuracy and facilitating better tracking of injury patterns related to railway incidents.

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

What should I document to support the use of V45.0?

Document the specifics of the accident, including the location, type of railway vehicle involved, and the nature of the injuries sustained. This information is crucial for accurate coding and reimbursement.