Occupant of anml-drn vehicle injured in clsn w stcar, subs

This code signifies an injury sustained by an individual riding in a vehicle pulled by an animal (e.g., a horse-drawn carriage or wagon) that was involved in a collision with a streetcar. The "D" suffix indicates that this is a subsequent encounter, meaning the patient is receiving follow-up care for an injury that occurred in the past.

Apply this code when documenting ongoing treatment, such as wound care, physical therapy, or follow-up appointments, for an injury sustained in the described type of accident. This would be used after the initial acute care for the injury has been provided and coded with the "A" suffix.

• Ensure the documentation clearly specifies the patient was an occupant of an animal-drawn vehicle and the collision was with a streetcar.
• Verify that the encounter is for follow-up care, not the initial treatment, to justify the "D" suffix.
• Always pair this external cause code with an injury code (e.g., fracture, contusion) to fully describe the patient's condition.