V45.3XXD — Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
Is V45.3XXD billable?
Yes, but V45.3XXD is an unspecified code. V45.3XXD is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, V45.3XXD is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting V45.3XXD — the more specific alternatives are listed below.
More specific alternatives
- V45.0XXDCar driver injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.1XXDCar passenger injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.2XXDPerson on outside of car injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter
- V45.4XXDPerson boarding or alighting a car injured in collision with railway train or railway vehicle, subsequent encounter
- V45.5XXDCar driver injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V45.6XXDCar passenger injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
- V45.7XXDPerson on outside of car injured in collision with railway train or railway vehicle in traffic accident, subsequent encounter
V45.3XXD at a glance
| Code | V45.3XXD |
|---|---|
| Description | Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident, subsequent encounter |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
| 7th character "D" | subsequent encounter |
What does the 7th character "D" mean in V45.3XXD?
In V45.3XXD, the 7th character D means subsequent encounter. The 7th character is required for V45.3XXD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
How is V45.3XXD listed in the External Cause Index?
The External Cause of Injuries Index lists these routes under V45.3, the nearest indexed parent of V45.3XXD. This is a separate index from the Alphabetic Index and is where external cause codes are looked up.
- Accident › transport › car occupant › collision › railway vehicle › nontraffic (to)
Excludes1 — never code together — inherited from V40-V49
The conditions below can never be reported together with V45.3XXD on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
How long has V45.3XXD existed?
V45.3XXD has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.