2024 ICD-10-CM Diagnosis Code T60.0X1A

Toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter

ICD-10-CM Code:
T60.0X1A
ICD-10 Code for:
Toxic effect of organophos and carbamate insect, acc, init
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

Code Classification

  • Injury, poisoning and certain other consequences of external causes
    (S00–T88)
    • Toxic effects of substances chiefly nonmedicinal as to source
      (T51-T65)
      • Toxic effect of pesticides
        (T60)

T60.0X1A is a billable diagnosis code used to specify a medical diagnosis of toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.

T60.0X1A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like toxic effect of organophosphate and carbamate insecticides accidental (unintentional). According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Accidental exposure to gluphosphate
  • Accidental exposure to organophosphorus herbicide
  • Accidental poisoning by aldicarb
  • Accidental poisoning by carbamates
  • Accidental poisoning by carbamic ester
  • Accidental poisoning by carbamic ester
  • Accidental poisoning by carbamic ester
  • Accidental poisoning by carbaryl
  • Accidental poisoning by demeton
  • Accidental poisoning by diazinon
  • Accidental poisoning by dichlorvos
  • Accidental poisoning by insecticides of organophosphorus compounds
  • Accidental poisoning by malathion
  • Accidental poisoning by methyl parathion
  • Accidental poisoning by parathion
  • Accidental poisoning by phorate
  • Accidental poisoning by phosdrin
  • Accidental poisoning by propoxur
  • Azinphos-ethyl poisoning
  • Azinphos-methyl poisoning
  • Carbamate insecticide toxicity
  • Carbamate pesticide adverse reaction
  • Carbamate poisoning
  • Carbaryl adverse reaction
  • Carbofuran poisoning
  • Carbophenothion poisoning
  • Chlorfenvinphos poisoning
  • Chlorpyrifos poisoning
  • Coumaphos poisoning
  • Crufomate poisoning
  • Demeton poisoning
  • Diazinon poisoning
  • Dimethoate poisoning
  • Dioxathion poisoning
  • Disulfoton poisoning
  • EPN poisoning
  • Famphur poisoning
  • Fenthion poisoning
  • Intermediate syndrome
  • Malathion adverse reaction
  • Methomyl poisoning
  • Methyl parathion poisoning
  • Mevinphos poisoning
  • Naled poisoning
  • Organophosphate encephalopathy
  • Organophosphate pesticide adverse reaction
  • Organophosphate poisoning
  • Oxydemeton-methyl poisoning
  • Pesticide adverse reaction
  • Pesticide adverse reaction
  • Pesticide adverse reaction
  • Phosmet poisoning
  • Poisoning by anticholinesterase
  • Poisoning by organophosphorus anticholinesterase
  • Propoxur poisoning
  • Ronnel poisoning
  • Terbufos poisoning
  • Tetrachlorvinphos poisoning
  • Tetraethyl pyrophosphate poisoning
  • Thiocarbamate compound toxicity
  • Toxic effect of carbaryl
  • Toxic effect of dichlorvos
  • Toxic effect of malathion
  • Toxic effect of parathion
  • Toxic effect of phorate
  • Trichlorfon poisoning

Clinical Classification

Clinical CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
External cause codes: intent of injury, accidental/unintentionalEXT020N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by non-drugEXT015N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Toxic effects, initial encounterINJ023Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Organophosphate Poisoning

    poisoning due to exposure to organophosphorus compounds, such as organophosphates; organothiophosphates; and organothiophosphonates.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of pesticides (T60). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Convert T60.0X1A to ICD-9-CM

  • ICD-9-CM Code: 989.3 - Tox eff organphos/carbam
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.
  • ICD-9-CM Code: E863.1 - Acc pois-phosph pesticid
    Combination Flag - Multiple codes are needed to describe the source diagnosis code. Correct coding should be done based on contextual judgment.

Table of Drugs and Chemicals

The parent code T60.0X1 of the current diagnosis code is referenced in the Table of Drugs and Chemicals, this table contains a classification of drugs, industrial solvents, corrosive gases, noxious plants, pesticides, and other toxic agents.

According to ICD-10-CM coding guidelines it is advised to do not code directly from the Table of Drugs and Chemicals, instead always refer back to the Tabular List when doing the initial coding. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. It is important to use as many codes as necessary to specify all reported drugs, medicinal or chemical substances. If the same diagnosis code describes the causative agent for more than one adverse reaction, poisoning, toxic effect or underdosing, utilize the code only once.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
(self-harm)
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
AldicarbT60.0X1T60.0X2T60.0X3T60.0X4  
Azinphos (ethyl) (methyl)T60.0X1T60.0X2T60.0X3T60.0X4  
BenomylT60.0X1T60.0X2T60.0X3T60.0X4  
Carbamate (insecticide)T60.0X1T60.0X2T60.0X3T60.0X4  
CarbarilT60.0X1T60.0X2T60.0X3T60.0X4  
CarbarylT60.0X1T60.0X2T60.0X3T60.0X4  
CarbophenothionT60.0X1T60.0X2T60.0X3T60.0X4  
ChlorfenvinphosT60.0X1T60.0X2T60.0X3T60.0X4  
ChlormephosT60.0X1T60.0X2T60.0X3T60.0X4  
ChloropyrifosT60.0X1T60.0X2T60.0X3T60.0X4  
ChlorthiophosT60.0X1T60.0X2T60.0X3T60.0X4  
ChlorthionT60.0X1T60.0X2T60.0X3T60.0X4  
CoumaphosT60.0X1T60.0X2T60.0X3T60.0X4  
Demephion -O and -ST60.0X1T60.0X2T60.0X3T60.0X4  
Demeton -O and -ST60.0X1T60.0X2T60.0X3T60.0X4  
DiazinonT60.0X1T60.0X2T60.0X3T60.0X4  
DicapthonT60.0X1T60.0X2T60.0X3T60.0X4  
DichlorvosT60.0X1T60.0X2T60.0X3T60.0X4  
DicrotophosT60.0X1T60.0X2T60.0X3T60.0X4  
DimefoxT60.0X1T60.0X2T60.0X3T60.0X4  
DimethoateT60.0X1T60.0X2T60.0X3T60.0X4  
DimetilanT60.0X1T60.0X2T60.0X3T60.0X4  
DioxathionT60.0X1T60.0X2T60.0X3T60.0X4  
DisulfotonT60.0X1T60.0X2T60.0X3T60.0X4  
DithiocarbamateT60.0X1T60.0X2T60.0X3T60.0X4  
EPNT60.0X1T60.0X2T60.0X3T60.0X4  
EthionT60.0X1T60.0X2T60.0X3T60.0X4  
FenthionT60.0X1T60.0X2T60.0X3T60.0X4  
Fluorophosphate insecticideT60.0X1T60.0X2T60.0X3T60.0X4  
HETPT60.0X1T60.0X2T60.0X3T60.0X4  
Hexaethyl tetraphos-phateT60.0X1T60.0X2T60.0X3T60.0X4  
LeptophosT60.0X1T60.0X2T60.0X3T60.0X4  
MephosfolanT60.0X1T60.0X2T60.0X3T60.0X4  
MetaphosT60.0X1T60.0X2T60.0X3T60.0X4  
MetrifonateT60.0X1T60.0X2T60.0X3T60.0X4  
MevinphosT60.0X1T60.0X2T60.0X3T60.0X4  
MipafoxT60.0X1T60.0X2T60.0X3T60.0X4  
NaledT60.0X1T60.0X2T60.0X3T60.0X4  
Octamethyl pyrophos-phoramideT60.0X1T60.0X2T60.0X3T60.0X4  
OMPAT60.0X1T60.0X2T60.0X3T60.0X4  
OrganophosphatesT60.0X1T60.0X2T60.0X3T60.0X4  
ParaoxonT60.0X1T60.0X2T60.0X3T60.0X4  
ParathionT60.0X1T60.0X2T60.0X3T60.0X4  
PhenylsulfthionT60.0X1T60.0X2T60.0X3T60.0X4  
PhorateT60.0X1T60.0X2T60.0X3T60.0X4  
PhosdrinT60.0X1T60.0X2T60.0X3T60.0X4  
PhosfolanT60.0X1T60.0X2T60.0X3T60.0X4  
PhosphamidonT60.0X1T60.0X2T60.0X3T60.0X4  
PropoxurT60.0X1T60.0X2T60.0X3T60.0X4  
ProthoateT60.0X1T60.0X2T60.0X3T60.0X4  
QuinalphosT60.0X1T60.0X2T60.0X3T60.0X4  
SchradanT60.0X1T60.0X2T60.0X3T60.0X4  
TEPPT60.0X1T60.0X2T60.0X3T60.0X4  
TerbufosT60.0X1T60.0X2T60.0X3T60.0X4  
Thiocarbamate (insecticide)T60.0X1T60.0X2T60.0X3T60.0X4  
ThiofosT60.0X1T60.0X2T60.0X3T60.0X4  
ThionazinT60.0X1T60.0X2T60.0X3T60.0X4  
TrichlorfonT60.0X1T60.0X2T60.0X3T60.0X4  
TrichloronateT60.0X1T60.0X2T60.0X3T60.0X4  
ZinebT60.0X1T60.0X2T60.0X3T60.0X4  

Patient Education


Pesticides

Pests live where they are not wanted or cause harm to crops, people, or animals. Pesticides can help get rid of them. Pesticides are not just insect killers. They also include chemicals to control weeds, rodents, mildew, germs, and more. Many household products contain pesticides.

Pesticides can protect your health by killing germs, animals, or plants that could hurt you. However, they can also be harmful to people or pets. You might want to try non-chemical methods first. If you do need a pesticide, use it correctly. Be especially careful around children and pets. Proper disposal of pesticides is also important - it can help protect the environment.

Biologically-based pesticides are becoming more popular. They often are safer than traditional pesticides.

Environmental Protection Agency


[Learn More in MedlinePlus]

Poisoning

A poison is any substance that is harmful to your body. You might swallow it, inhale it, inject it, or absorb it through your skin. Any substance can be poisonous if too much is taken. Poisons can include:

  • Prescription or over-the-counter medicines taken in doses that are too high
  • Overdoses of illegal drugs
  • Carbon monoxide from gas appliances
  • Household products, such as laundry powder or furniture polish
  • Pesticides
  • Indoor or outdoor plants
  • Metals such as lead and mercury

The effects of poisoning range from short-term illness to brain damage, coma, and death. To prevent poisoning it is important to use and store products exactly as their labels say. Keep dangerous products where children can't get to them. Treatment for poisoning depends on the type of poison. If you suspect someone has been poisoned, call your local poison control center at 1-800-222-1222 right away.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.

Footnotes

[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.