Person outside hv veh inj in clsn w pedl cyc in traf, subs

This code describes an individual who was an occupant of a large transport vehicle (e.g., bus, train, streetcar) but was positioned on the exterior of the vehicle at the time of a collision with a pedal cycle. The injury sustained occurred during a traffic accident, and this specific code is for a subsequent encounter for the injury.

Use this code for follow-up visits, cast changes, medication adjustments, or therapy sessions related to injuries sustained by an individual who was outside of a heavy transport vehicle when it collided with a bicycle or tricycle. This applies when the initial injury has already been coded and treated.

• Ensure the patient was physically on the exterior of the heavy transport vehicle, not inside.
• Confirm the collision involved a pedal cycle (bicycle, tricycle) and occurred in traffic.
• This seventh character 'D' is exclusively for subsequent encounters for the injury.