Prsn brd/alit a car injured in clsn w rail trn/veh, sequela

This code signifies a long-term or late-developing health problem resulting from an injury sustained by an individual who was in the process of getting on or off a car when it collided with a train or other railway vehicle. It indicates that the initial traumatic event has led to persistent or chronic conditions requiring ongoing medical attention.

Use this code when documenting a sequela (e.g., chronic pain, neurological deficits, permanent disfigurement, or psychological trauma) directly attributable to an injury from a car-train collision, where the patient was boarding or alighting the car at the time of impact. This code is appropriate for encounters addressing the residual effects of such an accident, occurring after the acute phase of injury has passed.

• Always sequence this sequela code after the code(s) for the specific residual condition(s) being treated.
• Ensure documentation clearly links the current condition to the past car-train collision event.
• Do not use this code for initial or subsequent encounters addressing the acute injury; use the appropriate acute injury codes for those phases.