V45: ICD10 Code for Car occupant injured in collision with railway train or railway vehicle
Learn about V45, the ICD10 code for Car occupant injured in collision with railway train or railway vehicle. Understand symptoms, diagnosis, usage, and related codes.

Car occupant injured in collision with railway train or railway vehicle (V45) captures injuries sustained by car occupants during various types of vehicle collisions and noncollision accidents. Accurate documentation is crucial for clinical treatment, insurance claim processing, transportation safety analysis, and legal reporting.
Symptoms
- Whiplash injuries to the neck
- Head trauma, concussion, or skull fractures
- Chest injuries including rib fractures and lung contusions
- Abdominal injuries like internal bleeding or organ damage
- Fractures of arms, legs, or pelvis
- Soft tissue injuries such as sprains and bruises
- Emotional trauma including anxiety or PTSD
Diagnosis
Diagnosis involves a combination of physical examination, detailed trauma assessments, and imaging techniques like X-rays, CT scans, and MRIs. Initial stabilization is a priority to manage life-threatening conditions. Comprehensive diagnostics help plan appropriate medical interventions such as surgery, physical therapy, or rehabilitation services.
ICD10 Code Usage
The ICD10 code V45 is commonly used across emergency rooms, trauma units, legal documentation, and insurance claims. Proper coding ensures clarity in medical records, facilitates fair compensation processes, supports forensic investigations, and contributes to road traffic injury surveillance systems worldwide.
Related Codes
- V40 – Car occupant injured in collision with pedestrian or animal
- V41 – Car occupant injured in collision with pedal cycle
- V42 – Car occupant injured in collision with two- or three-wheeled motor vehicle
- V43 – Car occupant injured in collision with car, pick-up truck or van
- V44 – Car occupant injured in collision with heavy transport vehicle or bus
- V46 – Car occupant injured in collision with other nonmotor vehicle
- V47 – Car occupant injured in collision with fixed or stationary object
- V48 – Car occupant injured in noncollision transport accident
- V49 – Car occupant injured in other and unspecified transport accidents
FAQs
Q1: What does ICD10 code V45 represent?
A: It classifies injuries sustained by car occupants during specific transport-related incidents.
Q2: Are seatbelt-related injuries coded separately?
A: Seatbelt-related injuries can be documented in clinical notes but are part of overall crash injury coding.
Q3: How important is crash severity in documentation?
A: Severity impacts diagnosis, treatment planning, legal outcomes, and insurance settlements.
Q4: Are emotional injuries recognized in accidents?
A: Yes, psychological evaluations are important and may lead to additional mental health diagnoses.
Q5: Why is detailed ICD10 coding necessary?
A: It improves patient care, supports data-driven road safety initiatives, and strengthens claim accuracy and defense in legal disputes.
Conclusion
Using ICD10 code V45 to document Car occupant injured in collision with railway train or railway vehicle accurately ensures better trauma care, streamlined insurance processing, valuable public health insights, and improvements in vehicle safety standards through thorough injury surveillance.

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