Occ of rail trn/veh inj in collisn/hit by roll stok, init

This code signifies an injury sustained by an individual who was an occupant of a train or other railway vehicle involved in a collision with another piece of rolling stock. This includes incidents where the train they were in collided with another train, a locomotive, or any other railway vehicle. The "A" at the end indicates this is for the initial encounter for treatment of the injury.

Apply this code when documenting injuries to passengers, conductors, engineers, or other personnel inside a train that has been involved in a crash with another train or railway car. This would be used for the initial medical evaluation and treatment following such an incident.

• Ensure the patient was an occupant within the railway vehicle, not a pedestrian or bystander.
• Verify the collision involved another piece of rolling stock, not a car, animal, or fixed object.
• Confirm this is the first time the patient is being seen for this specific injury from this incident.