V45.4XXD — Person boarding or alighting a car injured in collision with railway train or railway vehicle, subsequent encounter
Is V45.4XXD billable?
Yes — V45.4XXD is billable for FY2027. V45.4XXD is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. V45.4XXD may be submitted for encounters from October 1, 2026 through September 30, 2027.
V45.4XXD at a glance
| Code | V45.4XXD |
|---|---|
| Description | Person boarding or alighting a car injured in collision with railway train or railway vehicle, 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 V45.4XXD?
In V45.4XXD, the 7th character D means subsequent encounter. The 7th character is required for V45.4XXD to be a valid, complete code.
Same condition, different episode of care — switch the 7th character:
How is V45.4XXD listed in the External Cause Index?
The External Cause of Injuries Index lists these routes under V45.4, the nearest indexed parent of V45.4XXD. 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 › while boarding or alighting (to)
Excludes1 — never code together — inherited from V40-V49
The conditions below can never be reported together with V45.4XXD 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 V45.4XXD existed?
V45.4XXD 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.