DxCodebookFY2027 · Oct 1, 2026 – Sep 30, 2027

Category · FY2027

V45 Car occupant injured in collision with railway train or railway vehicle

  • Header · not billable
  • Codes take a 7th character

V45 is not billable. The category heads 27 billable codes in FY2027, grouped under 9 subdivisions. Its codes take a 7th character, so none is complete with fewer than 7 characters.

Where it sits

  1. Chapter 20 External causes of morbidity (V00-Y99)
  2. V40-V49 Car occupant injured in transport accident (V40-V49)
  3. V45 Car occupant injured in collision with railway train or railway vehicle
Billable codes
27
Subdivisions
9
CC / MCC codes
0 / 0
HCC V28 codes
0
New FY2027
0
Index entries
0

Codes in V45

  1. V45.0
    Car driver injured in collision with railway train or railway vehicle in nontraffic accident +7th: A D S
    Needs 7th characterExempt
  2. V45.1
    Car passenger injured in collision with railway train or railway vehicle in nontraffic accident +7th: A D S
    Needs 7th characterExempt
  3. V45.2
    Person on outside of car injured in collision with railway train or railway vehicle in nontraffic accident +7th: A D S
    Needs 7th characterExempt
  4. V45.3
    Unspecified car occupant injured in collision with railway train or railway vehicle in nontraffic accident +7th: A D S
    Needs 7th characterExempt
  5. V45.4
    Person boarding or alighting a car injured in collision with railway train or railway vehicle +7th: A D S
    Needs 7th characterExempt
  6. V45.5
    Car driver injured in collision with railway train or railway vehicle in traffic accident +7th: A D S
    Needs 7th characterExempt
  7. V45.6
    Car passenger injured in collision with railway train or railway vehicle in traffic accident +7th: A D S
    Needs 7th characterExempt
  8. V45.7
    Person on outside of car injured in collision with railway train or railway vehicle in traffic accident +7th: A D S
    Needs 7th characterExempt
  9. V45.9
    Unspecified car occupant injured in collision with railway train or railway vehicle in traffic accident +7th: A D S
    Needs 7th characterExempt

Sources of each column. Rows marked +7th need a 7th character: pick one to build the full code; its code card has its own flags.

Instructions

Notes that also apply

Block V40-V49 instructions (Includes 2, Excludes1 6): printed on the block page.

Instructions for the group V00-V99 (Notes 28, Excludes1 5, Excludes2 1, Use additional code 4): printed on the chapter 20 page.

Chapter 20 instructions (Notes 1): printed on the chapter 20 page.

7th characters

7th characters for V45 defined here

The appropriate 7th character is to be added to each code from category V45

7th characters for V45
7thMeaning (NCHS)
Ainitial encounter
Dsubsequent encounter
Ssequela

A code that takes a 7th character is invalid without it; the placeholder X fills a code shorter than 6 characters (Official Guidelines I.A.5). How 7th characters work.

Hierarchy