Person boarding or alighting a car injured in collision with railway train or railway vehicle
ICD-10 V45.4 is a billable code used to indicate a diagnosis of person boarding or alighting a car injured in collision with railway train or railway vehicle.
The ICD-10 code V45.4 is used to classify injuries sustained by individuals who are boarding or alighting from a motor vehicle and are subsequently involved in a collision with a railway train or railway vehicle. This code captures the external cause of morbidity and mortality associated with such incidents, which can result in severe injuries or fatalities. The context of this code is critical in understanding the dynamics of accidents involving trains and vehicles, particularly in urban areas where railway crossings are prevalent. Documentation should include details about the circumstances of the incident, including the location, time, and nature of the collision, as well as the type of injuries sustained. Accurate coding is essential for public health data collection, resource allocation, and injury prevention strategies.
Emergency department notes should clearly document the mechanism of injury, including the circumstances of boarding or alighting, and any immediate interventions performed.
Patients presenting with traumatic injuries after being struck by a train while exiting a vehicle at a crossing.
Consideration of the patient's mental state and any potential substance use at the time of the incident.
Trauma assessments must include detailed descriptions of injuries, surgical interventions, and the mechanism of injury.
Trauma cases involving multiple injuries from a collision with a train, requiring surgical intervention.
Documentation should reflect the severity of injuries and any complications arising from the incident.
Used when a patient presents to the emergency department with severe injuries from a train collision.
Documentation must reflect the severity of the patient's condition and the complexity of medical decision-making.
Emergency medicine specialists should ensure that all relevant details of the incident are captured.
Documentation should include the circumstances of the injury, whether the individual was boarding or alighting, the type of vehicle involved, and the nature of the injuries sustained.
