2024 ICD-10-CM Diagnosis Code T60.1X4D

Toxic effect of halogenated insecticides, undetermined, subsequent encounter

ICD-10-CM Code:
T60.1X4D
ICD-10 Code for:
Toxic effect of halogenated insecticides, undetermined, subs
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)

T60.1X4D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of halogenated insecticides, 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.

T60.1X4D 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 halogenated insecticides 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 Information

  • Diflubenzuron

    an insect growth regulator which interferes with the formation of the insect cuticle. it is effective in the control of mosquitoes and flies.
  • Endrin

    an organochlorine compound that was formerly used as an insecticide. its manufacture and use has been discontinued in the united states. (from merck index, 11th ed)
  • Heptachlor

    a man-made compound previously used to control termites and other insects. even though production of heptachlor was phased out of use in the united states during the late 1980's it remains in soil and hazardous waste sites. it is clearly toxic to animals and humans but, the international agency for research on cancer (iarc) has determined that heptachlor is not classifiable as to its carcinogenicity to humans. (from atsdr public heath statement, april 1989)
  • Heptachlor Epoxide

    an oxidation product of heptachlor formed by many plants and animals, including humans, after exposure to heptachlor. it has been shown to remain in soil treated with heptachlor for over fifteen years and is toxic to animals and humans. (from atsdr public heath statement, april 1989)
  • Permethrin

    a pyrethroid insecticide commonly used in the treatment of lice infestations and scabies.

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

Present on Admission (POA)

T60.1X4D 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 IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T60.1X4D 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 T60.1X4 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
2,4,5-T (trichloro-phenoxyacetic acid)T60.1X1T60.1X2T60.1X3T60.1X4  
Aldrin (dust)T60.1X1T60.1X2T60.1X3T60.1X4  
Chlordan (e) (dust)T60.1X1T60.1X2T60.1X3T60.1X4  
ChlorophenothaneT60.1X1T60.1X2T60.1X3T60.1X4  
Cryolite (vapor)T60.1X1T60.1X2T60.1X3T60.1X4  
Cryolite (vapor)
  »insecticide
T60.1X1T60.1X2T60.1X3T60.1X4  
CyhalothrinT60.1X1T60.1X2T60.1X3T60.1X4  
CypermethrinT60.1X1T60.1X2T60.1X3T60.1X4  
DDT (dust)T60.1X1T60.1X2T60.1X3T60.1X4  
DeltamethrinT60.1X1T60.1X2T60.1X3T60.1X4  
Dieldrin (vapor)T60.1X1T60.1X2T60.1X3T60.1X4  
DiflubenzuronT60.1X1T60.1X2T60.1X3T60.1X4  
EndrinT60.1X1T60.1X2T60.1X3T60.1X4  
HeptachlorT60.1X1T60.1X2T60.1X3T60.1X4  
IsobenzanT60.1X1T60.1X2T60.1X3T60.1X4  
KelevanT60.1X1T60.1X2T60.1X3T60.1X4  
Kwell (insecticide)T60.1X1T60.1X2T60.1X3T60.1X4  
Kwell (insecticide)
  »anti-infective (topical)
T60.1X1T60.1X2T60.1X3T60.1X4  
MirexT60.1X1T60.1X2T60.1X3T60.1X4  
PCPT60.1X1T60.1X2T60.1X3T60.1X4  
PCP
  »meaning pentachlorophenol
T60.1X1T60.1X2T60.1X3T60.1X4  
PCP
  »meaning pentachlorophenol
    »fungicide
T60.1X1T60.1X2T60.1X3T60.1X4  
PCP
  »meaning pentachlorophenol
    »herbicide
T60.1X1T60.1X2T60.1X3T60.1X4  
PCP
  »meaning pentachlorophenol
    »insecticide
T60.1X1T60.1X2T60.1X3T60.1X4  
PCP
  »meaning phencyclidine
T60.1X1T60.1X2T60.1X3T60.1X4  
Pentachlorophenol (pesticide)T60.1X1T60.1X2T60.1X3T60.1X4  
Pentachlorophenol (pesticide)
  »fungicide
T60.1X1T60.1X2T60.1X3T60.1X4  
Pentachlorophenol (pesticide)
  »herbicide
T60.1X1T60.1X2T60.1X3T60.1X4  
Pentachlorophenol (pesticide)
  »insecticide
T60.1X1T60.1X2T60.1X3T60.1X4  
PermethrinT60.1X1T60.1X2T60.1X3T60.1X4  
StrobaneT60.1X1T60.1X2T60.1X3T60.1X4  
Toxaphene (dust) (spray)T60.1X1T60.1X2T60.1X3T60.1X4  

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.