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ICD-10-CM 2027 diagnosis code

V45.3Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident

Not billable — use a more specific codeRequires 7th character

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.

Alphabetic index entries

1 entries

Terms in the official ICD-10-CM index that lead to V45.3.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 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.