Prsn brd/alit hv veh injured in clsn w rail trn/veh, init

This code describes an injury sustained by an individual who was in the process of getting on or off a large transport vehicle (e.g., a bus, truck, or other heavy vehicle) when it collided with a railway train or another railway vehicle. The injury is directly attributable to this specific type of multi-vehicle accident involving a heavy transport and a train.

Use this code when documenting injuries from a collision where a heavy transport vehicle is struck by a train, and the patient was in the act of boarding or alighting the heavy transport at the time of impact. This applies to scenarios such as a bus at a railway crossing being hit while passengers are disembarking.

• Ensure the documentation clearly specifies the patient's activity (boarding/alighting) from a heavy transport vehicle at the time of the train collision.
• This code requires an external cause code (V-Y codes) to fully describe the circumstances of the injury.
• Verify that the encounter is the initial treatment for the injury.