Ped on rolr-skt injured in clsn w rail trn/veh nontraf, subs

This code describes an injury sustained by an individual on roller-skates who was involved in a collision with a train or railway vehicle outside of a public roadway. The "D" in the seventh character indicates that this is a subsequent encounter for the injury, meaning the patient is receiving follow-up care after the initial treatment.

This code is appropriate for documenting ongoing care, such as wound checks, physical therapy, or medication management, for injuries sustained in the described accident. It should be used after the initial encounter for the acute injury has been coded.

• Ensure the patient was specifically on roller-skates, not a skateboard or other wheeled conveyance.
• Verify the accident occurred in a "nontraffic" area, such as a private railway crossing or railyard.
• Confirm this is a subsequent encounter for the injury; use the "A" seventh character for the initial encounter.