Person outsd hv veh inj pk-up truck, pk-up/van nontraf, subs

This code describes an injury sustained by an individual who was positioned on the exterior of a large transport vehicle (e.g., bus, train, streetcar) when it collided with a car, pickup truck, or van. The collision occurred in a non-traffic setting, such as a private parking lot or industrial area. This specific code is for a subsequent encounter, indicating follow-up care for the initial injury.

Use this code for follow-up visits related to injuries sustained by a person riding on the outside of a heavy transport vehicle involved in a non-traffic collision with a smaller passenger vehicle. This includes scenarios like a worker on the side of a train hit by a car in a railyard, or a person clinging to a bus struck by a van in a private lot. The "D" seventh character signifies that the patient is receiving routine care during the healing or recovery phase.

• Ensure the accident involved a "heavy transport vehicle" (e.g., bus, train, streetcar) and a "car, pick-up truck or van."
• Verify the accident occurred in a "nontraffic" environment, such as a private property or industrial area, not a public roadway.
• Confirm this is a "subsequent encounter" for the injury, not the initial treatment.