Intentional collision of motor vehicle with train, sequela

This code describes the long-term effects or complications arising from an intentional motor vehicle collision with a train. It signifies that the initial traumatic event has passed, but the patient continues to experience residual conditions directly attributable to that specific incident.

This code is used when a patient presents with a current condition (e.g., chronic pain, neurological deficits, psychological sequelae, or orthopedic deformities) that is a direct consequence of a previously sustained intentional motor vehicle-train collision. It should be assigned after the acute phase of the injury has concluded and the patient is receiving treatment for the lasting effects.

• Always sequence the code for the specific sequela (e.g., T90.5XXA for sequela of intracranial injury) first, followed by this external cause code.
• Ensure documentation clearly links the current condition to the past intentional motor vehicle-train collision.
• The "S" in the 7th character indicates sequela and should only be used for complications or conditions arising as a direct result of the initial injury, after the acute phase has passed.