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ICD-10 Guide
ICD-10 CodesV45.7

V45.7

Billable

Person on outside of car 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 V45.7 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 traffic accident.

Key Diagnostic Point:

The ICD-10 code V45.7 is used to classify injuries sustained by individuals who are outside of a vehicle involved in a collision with a railway train or railway vehicle. This code is particularly relevant in traffic accident scenarios where pedestrians or occupants of other vehicles are struck by trains, which can result in severe injuries or fatalities. The clinical context for this code includes a variety of injuries ranging from minor abrasions to life-threatening conditions such as traumatic brain injuries, fractures, and internal organ damage. Accurate coding is essential for proper documentation of the circumstances surrounding the injury, which can influence treatment decisions, resource allocation, and public health reporting. It is crucial for coders to ensure that the external cause of the injury is clearly documented in the medical record to support the use of this specific code.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Need for precise documentation of the circumstances of the accident.
  • Differentiation between injuries sustained inside a vehicle versus outside.
  • Potential for multiple external cause codes to be applicable.
  • Variability in injury severity and types of injuries reported.

Audit Risk Factors

  • Inadequate documentation of the accident details.
  • Misclassification of the location of injury (inside vs. outside vehicle).
  • Failure to capture all relevant external cause codes.
  • Inconsistent reporting of injury severity.

Specialty Focus

Medical Specialties

Emergency Medicine

Documentation Requirements

Emergency department records must include detailed descriptions of the accident, patient presentation, and initial assessments.

Common Clinical Scenarios

Patients presenting with trauma after being struck by a train while outside a vehicle.

Billing Considerations

Consideration of potential multiple injuries and the need for comprehensive trauma assessments.

Trauma Surgery

Documentation Requirements

Trauma registries should capture the mechanism of injury, injury severity scores, and surgical interventions.

Common Clinical Scenarios

Patients requiring surgical intervention due to severe injuries from train collisions.

Billing Considerations

Accurate coding is critical for trauma outcomes analysis and resource allocation.

Coding Guidelines

Inclusion Criteria

Use V45.7 When
  • According to ICD
  • 10 coding guidelines, external cause codes should be used in conjunction with the appropriate injury codes
  • It is essential to document the cause of the injury in detail, including the location and circumstances of the accident

Exclusion Criteria

Do NOT use V45.7 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used for patients presenting with severe injuries from train collisions.

Documentation Requirements

Detailed documentation of the patient's condition and treatment provided.

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, improving data accuracy and enabling better tracking of injury patterns related to train collisions.

ICD-9 vs ICD-10

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

Reimbursement & Billing Impact

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

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 types of injuries are typically associated with code V45.7?

Injuries associated with this code can range from minor abrasions to severe trauma, including fractures, traumatic brain injuries, and internal injuries due to the impact of a train.