Prsn brd/alit pk-up/van injured in clsn w rail trn/veh, subs

This code describes an injury sustained by an individual who was in the process of entering or exiting a pick-up truck or van when it collided with a train or other railway vehicle. The "D" suffix indicates that this is a subsequent encounter, meaning the patient is receiving follow-up care for an injury initially treated in an earlier encounter.

Use this code for follow-up visits related to injuries sustained by a patient who was boarding or alighting a pick-up truck or van during a railway collision. This includes scenarios such as wound care, fracture management follow-up, or physical therapy for injuries from the initial incident. It should not be used for the initial acute treatment of the injury.

• Ensure the documentation clearly states the patient was boarding or alighting the vehicle at the time of the railway collision.
• Verify that this is a subsequent encounter for an injury previously treated; otherwise, an initial encounter code (A) or sequela code (S) would be more appropriate.
• Always code the specific injury(ies) sustained in addition to this external cause code.