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v1.0.0
ICD-10 Guide
ICD-10 CodesV45.2

V45.2

Billable

Person on outside of car 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 V45.2 is a billable code used to indicate a diagnosis of person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident.

Key Diagnostic Point:

The ICD-10 code V45.2 is used to classify injuries sustained by individuals who are outside of a vehicle and are involved in a collision with a railway train or railway vehicle in a nontraffic accident scenario. This code is particularly relevant in cases where the individual is not in a moving vehicle at the time of the incident, distinguishing it from traffic-related injuries. Such incidents may occur in various settings, including railway crossings, maintenance areas, or during unauthorized access to railway property. Accurate coding of this scenario is crucial for understanding the epidemiology of railway-related injuries and for implementing public health interventions aimed at reducing such occurrences. Documentation should include details about the circumstances of the accident, the location, and the nature of the injuries sustained.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between traffic and nontraffic accidents
  • Understanding the context of the injury (e.g., trespassing vs. authorized presence)
  • Documenting specific details of the incident accurately
  • Identifying the appropriate external cause code among similar codes

Audit Risk Factors

  • Inadequate documentation of the circumstances surrounding the injury
  • Misclassification of the incident as a traffic accident
  • Failure to specify the location of the accident
  • Inconsistent coding practices among different coders

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department notes should clearly describe the mechanism of injury, including the patient's position relative to the train and any contributing factors.

Common Clinical Scenarios

Patients presenting with traumatic injuries after being struck by a train while standing outside a vehicle.

Billing Considerations

Consider the need for additional codes to capture specific injuries sustained, as well as any underlying health conditions that may affect treatment.

Trauma Surgery

Documentation Requirements

Trauma documentation must include detailed descriptions of the injuries, surgical interventions, and the patient's response to treatment.

Common Clinical Scenarios

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

Billing Considerations

Ensure that all injuries are coded accurately, including any secondary injuries that may arise from the primary incident.

Coding Guidelines

Inclusion Criteria

Use V45.2 When
  • Follow the ICD
  • CM Official Guidelines for Coding and Reporting, particularly those related to external causes of morbidity
  • Ensure that the code is used in conjunction with appropriate injury codes to provide a complete picture of the patient's condition

Exclusion Criteria

Do NOT use V45.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99283CPT Code

Emergency department visit, moderate severity

Clinical Scenario

Used for patients presenting with injuries from a train collision.

Documentation Requirements

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

Specialty Considerations

Emergency medicine providers should ensure that the mechanism of injury is clearly documented.

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, improving data accuracy and enabling 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 of injuries, improving data accuracy and enabling 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 of injuries, improving data accuracy and enabling 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 V45.2?

Document the specifics of the incident, including the patient's position, the nature of the collision, and any contributing factors. Ensure that the injury codes are linked appropriately.