2024 ICD-10-CM Diagnosis Code T60.0X2D

Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, subsequent encounter

ICD-10-CM Code:
T60.0X2D
ICD-10 Code for:
Toxic eff of organophos and carbamate insect, slf-hrm, 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)

T60.0X2D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of organophosphate and carbamate insecticides, intentional self-harm, 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.

T60.0X2D 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 organophosphate and carbamate insecticides intentional self-harm. 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 CategoryCCSR Category CodeInpatient Default CCSROutpatient Default CCSR
Suicide attempt/intentional self-harm; subsequent encounterMBD027Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Toxic effects, subsequent encounterINJ060N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

  • Aldicarb

    carbamate derivative used as an insecticide, acaricide, and nematocide.
  • Benomyl

    a systemic agricultural fungicide used for control of certain fungal diseases of stone fruit.
  • Carbaryl

    a carbamate insecticide and parasiticide. it is a potent anticholinesterase agent belonging to the carbamate group of reversible cholinesterase inhibitors. it has a particularly low toxicity from dermal absorption and is used for control of head lice in some countries.
  • Chlorfenvinphos

    an organophosphorus cholinesterase inhibitor that is used as an insecticide and an acaricide.
  • Coumaphos

    a organothiophosphorus cholinesterase inhibitor that is used as an anthelmintic, insecticide, and as a nematocide.
  • Diazinon

    a cholinesterase inhibitor that is used as an organothiophosphorus insecticide.
  • Dichlorvos

    an organophosphorus insecticide that inhibits acetylcholinesterase.
  • Dimethoate

    an organothiophosphorus cholinesterase inhibitor that is used as a systemic and contact insecticide.
  • Disulfoton

    an organothiophosphate insecticide.
  • Fenthion

    potent cholinesterase inhibitor used as an insecticide and acaricide.
  • Leptophos

    an organothiophosphate insecticide.
  • Mevinphos

    an organophosphate cholinesterase inhibitor that is used as an insecticide.
  • Organophosphates

    carbon-containing phosphoric acid derivatives. included under this heading are compounds that have carbon atoms bound to one or more oxygen atoms of the p(=o)(o)3 structure. note that several specific classes of endogenous phosphorus-containing compounds such as nucleotides; phospholipids; and phosphoproteins are listed elsewhere.
  • Aryldialkylphosphatase

    an enzyme which catalyzes the hydrolysis of an aryl-dialkyl phosphate to form dialkyl phosphate and an aryl alcohol. it can hydrolyze a broad spectrum of organophosphate substrates and a number of aromatic carboxylic acid esters. it may also mediate an enzymatic protection of low density lipoproteins against oxidative modification and the consequent series of events leading to atheroma formation. the enzyme was previously regarded to be identical with arylesterase (ec 3.1.1.2).
  • Paraoxon

    an organophosphate cholinesterase inhibitor that is used as a pesticide.
  • Methyl Parathion

    the methyl homolog of parathion. an effective, but highly toxic, organothiophosphate insecticide and cholinesterase inhibitor.
  • Parathion

    a highly toxic cholinesterase inhibitor that is used as an acaricide and as an insecticide.
  • Phorate

    a cholinesterase inhibitor that is used as an insecticide.
  • Phosphamidon

    an organophosphate cholinesterase inhibitor that is used as an insecticide.
  • Propoxur

    a carbamate insecticide.
  • Trichlorfon

    an organochlorophosphate cholinesterase inhibitor that is used as an insecticide for the control of flies and roaches. it is also used in anthelmintic compositions for animals. (from merck, 11th ed)

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)

T60.0X2D 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 T60.0X2D 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 T60.0X2 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.