| Full description | Car passenger injured in collision with railway train or railway vehicle in nontraffic accident |
| Billable | No — use a more specific child code |
| Chapter | Chapter 20: External causes of morbidity (V00-Y99) |
| Section | Car occupant injured in transport accident (V40-V49) |
| Parent code | V45 — Car occupant injured in collision w rail trn/veh |
| Requires 7th character | Yes |