ICD-10 Code T60.4X1

Toxic effect of rodenticides, accidental (unintentional)

Version 2019 Non-Billable Code Poisoning Accidental
ICD-10:T60.4X1
Short Description:Toxic effect of rodenticides, accidental (unintentional)
Long Description:Toxic effect of rodenticides, accidental (unintentional)

Not Valid for Submission

ICD-10 T60.4X1 is a "header" nonspecific and non-billable code code, consider using a code with a higher level of specificity for a diagnosis of toxic effect of rodenticides, accidental (unintentional). The code is NOT valid for the year 2019 for the submission of HIPAA-covered transactions.

Consider the following ICD-10 codes with a higher level of specificity:

  • T60.4X1A - Toxic effect of rodenticides, accidental (unintentional), initial encounter
  • T60.4X1D - Toxic effect of rodenticides, accidental (unintentional), subsequent encounter
  • T60.4X1S - Toxic effect of rodenticides, accidental (unintentional), sequela

Code Classification

  • Injury, poisoning and certain other consequences of external causes (S00–T98)
    • Toxic effects of substances chiefly nonmedicinal as to source (T51-T65)
      • Toxic effect of pesticides (T60)

Information for Medical Professionals

Diagnostic Related Groups

The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The diagnosis code T60.4X1 is grouped in the following groups for version MS-DRG V36.0 applicable from 10/01/2018 through 09/30/2019.

  • 917 - POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC
  • 918 - POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC
  • 922 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITH MCC
  • 923 - OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES WITHOUT MCC
  • 949 - AFTERCARE WITH CC/MCC
  • 950 - AFTERCARE WITHOUT CC/MCC

Synonyms

The following clinical terms are approximate synonyms:

  • Accidental coumarin poisoning
  • Accidental exposure to alphachloralose
  • Accidental exposure to anticoagulant-based rodenticide
  • Accidental poisoning by rodenticides
  • Accidental poisoning by warfarin
  • Accidental poisoning by zinc phosphide
  • Accidental warfarin sodium poisoning
  • Alphachloralose causing toxic effect
  • Alphanaphthylthiourea toxicity
  • Anticoagulant rodenticide toxicity
  • Crimidine toxicity
  • Diphenadione poisoning
  • Fluoroacetate toxicity
  • Non-anticoagulant rodenticide causing toxic effect
  • Norbormide toxicity
  • Pindone poisoning
  • Poisoning by warfarin sodium
  • Pyriminil toxicity
  • Rodenticide poisoning
  • Sodium fluoroacetate toxicity
  • Zinc phosphide poisoning
  • Zinc poisoning
  • Zinc sulfide causing toxic effect

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references for the code T60.4X1 are found in the tabular index:

  • Inclusion Terms:
    • Toxic effect of rodenticides NOS

Table of Drugs and Chemicals

The code T60.4X1 is included 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. Each substance in the table is assigned a code according to the poisoning classification and external causes of adverse effects. Use as many codes as necessary to describe all reported drugs, medicinal or chemical substances.

Substance Poisoning
Accidental
(unintentional)
Poisoning
Accidental
self-harm
Poisoning
Assault
Poisoning
Undetermined
Adverse
effect
Underdosing
ANTU (alpha naphthylthiourea)T60.4X1T60.4X2T60.4X3T60.4X4
BrodifacoumT60.4X1T60.4X2T60.4X3T60.4X4
BromethalinT60.4X1T60.4X2T60.4X3T60.4X4
ChloraloseT60.4X1T60.4X2T60.4X3T60.4X4
ChlorophacinoneT60.4X1T60.4X2T60.4X3T60.4X4
CompoundT60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »42 (warfarin)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »269 (endrin)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »497 (dieldrin)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »1080 (sodium fluoroacetate)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »3422 (parathion)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »3911 (phorate)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »3956 (toxaphene)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »4049 (malathion)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »4069 (malathion)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »4124 (dicapthon)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »E (cortisone)
T60.4X1T60.4X2T60.4X3T60.4X4
Compound
  »F (hydrocortisone)
T60.4X1T60.4X2T60.4X3T60.4X4
CrimidineT60.4X1T60.4X2T60.4X3T60.4X4
DiphacinoneT60.4X1T60.4X2T60.4X3T60.4X4
Naphthylthiourea (ANTU)T60.4X1T60.4X2T60.4X3T60.4X4
NorbormideT60.4X1T60.4X2T60.4X3T60.4X4
PindoneT60.4X1T60.4X2T60.4X3T60.4X4
PyriminilT60.4X1T60.4X2T60.4X3T60.4X4
Rat poison NECT60.4X1T60.4X2T60.4X3T60.4X4
Red squill (scilliroside)T60.4X1T60.4X2T60.4X3T60.4X4
Rodenticide NECT60.4X1T60.4X2T60.4X3T60.4X4
Rough-on-ratsT60.4X1T60.4X2T60.4X3T60.4X4
Scilla, rat poisonT60.4X1T60.4X2T60.4X3T60.4X4
ScillarenT60.4X1T60.4X2T60.4X3T60.4X4

Information for Patients


Pesticides

Also called: Fungicides, Herbicides, Rodenticides

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

  • Insecticide poisoning (Medical Encyclopedia)
  • Pesticides (Medical Encyclopedia)

[Read More]

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.

  • Poisoning (Medical Encyclopedia)
  • Poisoning first aid (Medical Encyclopedia)
  • Toxicology screen (Medical Encyclopedia)

[Read More]

ICD-10 Footnotes

General Equivalence Map Definitions
The ICD-10 and ICD-9 GEMs are used to facilitate linking between the diagnosis codes in ICD-9-CM and the new ICD-10-CM code set. The GEMs are the raw material from which providers, health information vendors and payers can derive specific applied mappings to meet their needs.

  • Approximate Flag - The approximate flag is on, indicating that the relationship between the code in the source system and the code in the target system is an approximate equivalent.
  • No Map Flag - The no map flag indicates that a code in the source system is not linked to any code in the target system.
  • Combination Flag - The combination flag indicates that more than one code in the target system is required to satisfy the full equivalent meaning of a code in the source system.

Index of Diseases and Injuries Definitions

  • And - The word "and" should be interpreted to mean either "and" or "or" when it appears in a title.
  • Code also note - A "code also" note instructs that two codes may be required to fully describe a condition, but this note does not provide sequencing direction.
  • Code first - Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions, the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists, there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation.
  • Type 1 Excludes Notes - A type 1 Excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Type 2 Excludes Notes - A type 2 Excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
  • Includes Notes - This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • Inclusion terms - List of terms is included under some codes. These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • NEC "Not elsewhere classifiable" - This abbreviation in the Alphabetic Index represents "other specified". When a specific code is not available for a condition, the Alphabetic Index directs the coder to the "other specified” code in the Tabular List.
  • NOS "Not otherwise specified" - This abbreviation is the equivalent of unspecified.
  • See - The "see" instruction following a main term in the Alphabetic Index indicates that another term should be referenced. It is necessary to go to the main term referenced with the "see" note to locate the correct code.
  • See Also - A "see also" instruction following a main term in the Alphabetic Index instructs that there is another main term that may also be referenced that may provide additional Alphabetic Index entries that may be useful. It is not necessary to follow the "see also" note when the original main term provides the necessary code.
  • 7th Characters - Certain ICD-10-CM categories have applicable 7th characters. The applicable 7th character is required for all codes within the category, or as the notes in the Tabular List instruct. The 7th character must always be the 7th character in the data field. If a code that requires a 7th character is not 6 characters, a placeholder X must be used to fill in the empty characters.
  • With - The word "with" should be interpreted to mean "associated with" or "due to" when it appears in a code title, the Alphabetic Index, or an instructional note in the Tabular List. The word "with" in the Alphabetic Index is sequenced immediately following the main term, not in alphabetical order.