ICD-10-CM 2027 diagnosis code
V45.5XXACar driver injured in collision with railway train or railway vehicle in traffic accident, initial encounter
V45.5XXA is a valid, billable ICD-10-CM code for car driver injured in collision with railway train or railway vehicle in traffic accident, initial encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Car driver injured in collision w rail trn/veh in traf, init
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 V45.5XXA
V45.5XXA is the ICD-10-CM diagnosis code for car driver injured in collision with railway train or railway vehicle in traffic accident, initial encounter. 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 billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.
The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
It is exempt from present-on-admission (POA) reporting, so no POA indicator is required.
It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.
Before ICD-10, this condition was coded in ICD-9-CM as E810.0 (motor vehicle traffic accident involving collision with train injuring driver of motor vehicle other than motorcycle).
7th character
Ainitial encounter
Other encounter types for V45.5:
Notes that apply from higher levels
Instructions written at a parent level also apply to V45.5XXA.
Broader instructions also apply from V40-V49 Car occupant injured in transport accident and Chapter 20: External causes of morbidity.
ICD-9-CM equivalent
Converter →- E810.0Motor vehicle traffic accident involving collision with train injuring driver of motor vehicle other than motorcycleapproximate
From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.
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 V45.5XXA
Is V45.5XXA billable?
- Yes. V45.5XXA is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
What does the "A" at the end of V45.5XXA mean?
- It is the 7th character for initial encounter. Per the official guidelines, use it while the patient is receiving active treatment for the condition.
Can V45.5XXA be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict V45.5XXA as a principal diagnosis.
Is V45.5XXA a CC or MCC?
- No. V45.5XXA is neither a CC nor an MCC under MS-DRG v44.0.
What is the ICD-9 code for V45.5XXA?
- The CMS General Equivalence Mappings map V45.5XXA to ICD-9-CM E810.0.