Prsn brd/alit from bus injured in clsn w rail trn/veh, subs

This code signifies an injury sustained by an individual who was in the process of getting on or off a bus when it was involved in a collision with a train or other railway vehicle. The "D" seventh character indicates that this is a subsequent encounter for the injury, meaning the patient is receiving routine care during the healing or recovery phase.

Apply this code when documenting follow-up care for injuries resulting from a bus-train collision, specifically when the patient was boarding or alighting the bus at the time of impact. This includes scenarios such as physical therapy, medication management, or wound care during the recovery period after the initial treatment.

• Always assign an external cause code (V00-Y99) to provide more specific details about the event.
• Ensure the "D" seventh character is used only for subsequent encounters, not for initial treatment or sequelae.
• Code all associated injuries sustained by the patient in addition to this external cause code.