Prsn outsd 3-whl mv inj in clsn w rail trn/veh nontraf, subs

This code describes an individual who was an occupant, but not inside, a three-wheeled motor vehicle and sustained injuries from a collision with a train or railway vehicle. This specific encounter is for follow-up care after the initial injury, and the accident occurred in a non-traffic setting, such as a private property or railway yard.

Apply this code for subsequent encounters when a patient presents for ongoing treatment, rehabilitation, or follow-up related to injuries sustained in this specific type of railway accident. This includes visits for wound care, physical therapy, or re-evaluation of fractures or other trauma resulting from the initial incident.

• Ensure the "D" seventh character is appropriate for subsequent care, not initial or sequela.
• Verify the patient was outside the three-wheeled vehicle, not an occupant within it.
• Confirm the accident occurred in a non-traffic environment, distinguishing it from public road collisions.