2024 ICD-10-CM Diagnosis Code T60.2X1A

Toxic effect of other insecticides, accidental (unintentional), initial encounter

ICD-10-CM Code:
T60.2X1A
ICD-10 Code for:
Toxic effect of insecticides, accidental, 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)

T60.2X1A is a billable diagnosis code used to specify a medical diagnosis of toxic effect of other 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.

T60.2X1A 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 other 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:

  • Adverse reaction to pyrethroid
  • Alkane poisoning
  • Pyrethrin toxicity
  • Pyrethroid toxicity
  • Toxic effect of naphthalene

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

  • Azadirachta

    a plant genus of the family meliaceae. members contain azadirachtin a (a limonoid commonly referred to as azadirachtin) and other triterpenes. they have been used in pesticides. the old name of melia azadirachta is very similar to a related plant, melia azedarach.
  • Camphor

    a bicyclic monoterpene ketone found widely in plants, especially cinnamomum camphora. it is used topically as a skin antipruritic and as an anti-infective agent.
  • Camphor 5-Monooxygenase

    a soluble cytochrome p-450 enzyme that catalyzes camphor monooxygenation in the presence of putidaredoxin, putidaredoxin reductase, and molecular oxygen. this enzyme, encoded by the camc gene also known as cyp101, has been crystallized from bacteria and the structure is well defined. under anaerobic conditions, this enzyme reduces the polyhalogenated compounds bound at the camphor-binding site.
  • Cinnamomum camphora

    a tree, cinnamomum camphora (l.) j. presl, known as the source of camphor.
  • Endosulfan

    a polychlorinated compound used for controlling a variety of insects. it is practically water-insoluble, but readily adheres to clay particles and persists in soil and water for several years. its mode of action involves repetitive nerve-discharges positively correlated to increase in temperature. this compound is extremely toxic to most fish. (from comp biochem physiol (c) 1993 jul;105(3):347-61)
  • Electron Transport Complex I

    a flavoprotein and iron sulfur-containing oxidoreductase complex that catalyzes the conversion of ubiquinone to ubiquinol. in mitochondria the complex also couples its reaction to the transport of protons across the internal mitochondrial membrane. the nadh dehydrogenase component of the complex can be isolated and is listed as ec 1.6.99.3.
  • Rotenone

    a botanical insecticide that is an inhibitor of mitochondrial electron transport.

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 T60.2X1A to ICD-9-CM

  • ICD-9-CM Code: 989.4 - Toxic eff pesticides NEC
    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: E863.4 - Acc poison-pesticide NEC
    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 T60.2X1 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
AzadirachtaT60.2X1T60.2X2T60.2X3T60.2X4  
CamphorT60.2X1T60.2X2T60.2X3T60.2X4  
Camphor
  »insecticide
T60.2X1T60.2X2T60.2X3T60.2X4  
Camphor
  »medicinal
T60.2X1T60.2X2T60.2X3T60.2X4  
CyphenothrinT60.2X1T60.2X2T60.2X3T60.2X4  
DDE (bis (chlorophenyl)-dichloroethylene)T60.2X1T60.2X2T60.2X3T60.2X4  
Derris rootT60.2X1T60.2X2T60.2X3T60.2X4  
EndosulfanT60.2X1T60.2X2T60.2X3T60.2X4  
Moth balls [See Also: Pesticide]T60.2X1T60.2X2T60.2X3T60.2X4  
Moth balls [See Also: Pesticide]
  »naphthalene
T60.2X1T60.2X2T60.2X3T60.2X4  
Moth balls [See Also: Pesticide]
  »paradichlorobenzene
T60.2X1T60.2X2T60.2X3T60.2X4  
Naphthalene (non-chlorinated)T60.2X1T60.2X2T60.2X3T60.2X4  
Naphthalene (non-chlorinated)
  »chlorinated
T60.2X1T60.2X2T60.2X3T60.2X4  
Naphthalene (non-chlorinated)
  »chlorinated
    »vapor
T60.2X1T60.2X2T60.2X3T60.2X4  
Naphthalene (non-chlorinated)
  »insecticide or moth repellent
T60.2X1T60.2X2T60.2X3T60.2X4  
Naphthalene (non-chlorinated)
  »insecticide or moth repellent
    »chlorinated
T60.2X1T60.2X2T60.2X3T60.2X4  
Naphthalene (non-chlorinated)
  »vapor
T60.2X1T60.2X2T60.2X3T60.2X4  
Naphthalene (non-chlorinated)
  »vapor
    »chlorinated
T60.2X1T60.2X2T60.2X3T60.2X4  
Nicotine (insecticide) (spray) (sulfate) NECT60.2X1T60.2X2T60.2X3T60.2X4  
Nicotine (insecticide) (spray) (sulfate) NEC
  »from tobacco
T60.2X1T60.2X2T60.2X3T60.2X4  
Nicotine (insecticide) (spray) (sulfate) NEC
  »from tobacco
    »cigarettes
T60.2X1T60.2X2T60.2X3T60.2X4  
Nicotine (insecticide) (spray) (sulfate) NEC
  »not insecticide
T60.2X1T60.2X2T60.2X3T60.2X4  
Pyrethrin, pyrethrum (nonmedicinal)T60.2X1T60.2X2T60.2X3T60.2X4  
RotenoneT60.2X1T60.2X2T60.2X3T60.2X4  
TetramethrinT60.2X1T60.2X2T60.2X3T60.2X4  

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.