ICD-10-CM 2027 diagnosis code
V45.3Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident
V45.3 is a header code, so it can't be reported by itself. Choose one of the 3 more specific codes beneath it and add the required 7th character.Short description: Unsp car occupant injured in clsn w rail trn/veh nontraf
Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data
About V45.3
V45.3 is the ICD-10-CM diagnosis code for unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident. It belongs to category V45 (car occupant injured in collision with railway train or railway vehicle), block V40-V49 (car occupant injured in transport accident) and chapter 20 (external causes of morbidity). It is a header code, so it can't be reported by itself; one of its 3 subcodes must be used instead.
Within V45, choose V45.3 (Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident) only when documentation doesn't support a more specific option: car driver injured in collision with railway train or railway vehicle in nontraffic accident (V45.0), car passenger injured in collision with railway train or railway vehicle in nontraffic accident (V45.1), person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident (V45.2), person boarding or alighting a car injured in collision with railway train or railway vehicle (V45.4), car driver injured in collision with railway train or railway vehicle in traffic accident (V45.5), car passenger injured in collision with railway train or railway vehicle in traffic accident (V45.6), person on outside of car injured in collision with railway train or railway vehicle in traffic accident (V45.7) and unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident (V45.9).
Codes in this range require a 7th character: A for initial encounter, D for subsequent encounter and S for sequela. Use placeholder "X" characters to fill any empty positions before the 7th character.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
7th character
The appropriate 7th character is to be added to each code from category V45
Notes that apply from higher levels
Instructions written at a parent level also apply to V45.3.
Broader instructions also apply from V40-V49 Car occupant injured in transport accident and Chapter 20: External causes of morbidity.
Alphabetic index entries
1 entriesTerms in the official ICD-10-CM index that lead to V45.3.
Code history
- 2016
- 2017
- 2018
- 2019
- 2020
- 2021
- 2022
- 2023
- 2024
- 2025
- 2026
- 2027
- FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
- No changes since FY2016.
Common questions about V45.3
Is V45.3 billable?
- No. V45.3 is a header code. Report one of its more specific subcodes instead.