2024 ICD-10-CM Diagnosis Code T65.6X4D
Toxic effect of paints and dyes, not elsewhere classified, undetermined, subsequent encounter
- ICD-10-CM Code:
- T65.6X4D
- ICD-10 Code for:
- Toxic effect of paints and dyes, NEC, undetermined, subs
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T65.6X4D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of paints and dyes, not elsewhere classified, undetermined, subsequent 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. The code is exempt from present on admission (POA) reporting for inpatient admissions to general acute care hospitals.
T65.6X4D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like toxic effect of paints and dyes not elsewhere classified undetermined. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Clinical Classification
Clinical Category is Toxic effects, subsequent encounter
- CCSR Category Code: INJ060
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Lacquer
a liquid resinous varnish solubilized in a volatile solvent which may be combined with a pigment. it forms a hard, glossy, and protective coating when applied to wood or metal.
Coding Guidelines
The appropriate 7th character is to be added to each code from block Toxic effect of other and unspecified substances (T65). Use the following options for the aplicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Present on Admission (POA)
T65.6X4D is exempt from POA reporting - The Present on Admission (POA) indicator is used for diagnosis codes included in claims involving inpatient admissions to general acute care hospitals. POA indicators must be reported to CMS on each claim to facilitate the grouping of diagnoses codes into the proper Diagnostic Related Groups (DRG). CMS publishes a listing of specific diagnosis codes that are exempt from the POA reporting requirement. Review other POA exempt codes here.
CMS POA Indicator Options and Definitions
POA Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T65.6X4D to ICD-9-CM
- ICD-9-CM Code: V58.89 - Other specfied aftercare
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Table of Drugs and Chemicals
The parent code T65.6X4 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 |
---|---|---|---|---|---|---|
Acridine | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Acridine »vapor | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Cochineal | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Cochineal »medicinal products | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Dye NEC | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Dye NEC »antiseptic | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Dye NEC »diagnostic agents | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Dye NEC »pharmaceutical NEC | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Lacquer | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Paint NEC | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Paint NEC »cleaner | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Paint NEC »fumes NEC | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Paint NEC »lead (fumes) | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Paint NEC »solvent NEC | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Paint NEC »stripper | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 | ||
Stains | T65.6X1 | T65.6X2 | T65.6X3 | T65.6X4 |
Patient Education
Household Products
The products you use for cleaning, carpentry, auto repair, gardening, and many other household uses can contain ingredients that can harm you, your family, and the environment. These include :
- Oven and drain cleaners
- Cleaning and disinfecting products, including bleach and antibacterial cleaners
- Laundry powder
- Floor polish
- Paint thinners, strippers, and removers
- Pesticides
- Grease and rust removers
- Motor oil and fuel additives
- Arts and craft supplies
Toxic substances in these products can cause harm if inhaled, swallowed, or absorbed through the skin. People respond to toxic substances in different ways. At high doses, a toxic substance might cause birth defects or other serious problems, including brain damage or death.
To avoid problems, keep products in the containers they come in and use them exactly as the label says. Follow label directions or get medical help if you swallow or inhale them or get them on your skin.
Environmental Protection Agency
[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.