Pasngr in hv veh inj in clsn w nonmtr vehicle nontraf, subs

This code describes a patient who was a passenger in a large vehicle (e.g., bus, train) involved in a collision with a non-motorized vehicle (e.g., bicycle, animal-drawn vehicle) that occurred off a public roadway. The "D" suffix indicates that this is a subsequent encounter for care related to the initial injury, meaning the patient is receiving follow-up treatment after the acute phase.

Use this code for follow-up visits, cast changes, medication adjustments, or physical therapy sessions for injuries sustained by a passenger in a heavy transport vehicle involved in an off-road collision with a non-motor vehicle. This applies when the initial injury has already been treated and the patient is in the healing or recovery phase.

• Ensure the accident occurred in a non-traffic setting (e.g., parking lot, private property).
• Verify the patient was a passenger, not the driver, and the other vehicle was non-motorized.
• The "D" suffix is crucial for subsequent encounters; do not use for initial treatment or sequelae.