Ped on rolr-skt inj in clsn w rail trn/veh in traf, sequela

This code describes a pedestrian who was on roller-skates and sustained an injury from a collision with a train or railway vehicle in a traffic accident. The "S" suffix indicates that this is a sequela code, meaning it is used for complications or conditions arising as a direct result of the initial injury, after the acute phase has passed.

Apply this code when documenting a late effect or complication from a past injury where a roller-skating pedestrian was struck by a train in a traffic setting. This could include chronic pain, scar contractures, nonunion of fractures, or other long-term issues directly attributable to the original incident.

• Always use this code as a secondary diagnosis, following the code for the specific sequela (e.g., chronic pain, malunion).
• Ensure the medical record clearly documents the original incident as a collision between a roller-skating pedestrian and a train in traffic.
• Verify that the encounter is for treatment of a long-term effect, not the initial acute injury.