Person injured in collision betw rail trn/veh and car, init

This code identifies an individual who has sustained an injury as a direct result of a motor vehicle (car) colliding with a train or other railway vehicle. The incident occurred on a public thoroughfare or railway crossing, indicating a traffic-related event.

Apply this code for patients presenting with injuries sustained in a car-train collision, such as fractures, internal injuries, or trauma. It is appropriate for the initial visit or encounter for treatment of these injuries. This code specifically applies when the car is the other vehicle involved with the train.

• Ensure the documentation clearly specifies a car as the other vehicle involved with the train.
• Confirm the encounter is the initial treatment for the injury to use the "A" seventh character.
• Always code the specific nature of the injury(ies) in addition to this external cause code.