2024 ICD-10-CM Diagnosis Code T60.91XS

Toxic effect of unspecified pesticide, accidental (unintentional), sequela

ICD-10-CM Code:
T60.91XS
ICD-10 Code for:
Toxic effect of unsp pesticide, accidental, sequela
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)

T60.91XS is a billable diagnosis code used to specify a medical diagnosis of toxic effect of unspecified pesticide, accidental (unintentional), sequela. 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.

T60.91XS is a sequela code, includes a 7th character and should be used for complications that arise as a direct result of a condition like toxic effect of unspecified pesticide accidental (unintentional). According to ICD-10-CM Guidelines a "sequela" code should be used for chronic or residual conditions that are complications of an initial acute disease, illness or injury. The most common sequela is pain. Usually, two diagnosis codes are needed when reporting sequela. The first code describes the nature of the sequela while the second code describes the sequela or late effect.

Unspecified diagnosis codes like T60.91XS are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.

Approximate Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Accidental pesticide product poisoning
  • Accidental poisoning by fumigant
  • Contact dermatitis due to pediculicide
  • Insect repellant causing toxic effect
  • Insecticide poisoning
  • Mosquito repellant causing toxic effect
  • Nail damage caused by insecticide
  • Nail damage from external agent
  • Pesticide adverse reaction
  • Pesticide poisoning
  • Pesticide-induced Parkinsonism

Clinical Classification

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)

T60.91XS 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 T60.91XS to ICD-9-CM

  • ICD-9-CM Code: 909.1 - Late eff nonmed substanc
    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: E929.2 - Late eff acc poisoning
    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 T60.91 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
Antrol [See Also: by specific chemical substance]T60.91T60.92T60.93T60.94  
Antrol [See Also: by specific chemical substance]
  »fungicide
T60.91T60.92T60.93T60.94  
BlackT60.91T60.92T60.93T60.94  
Black
  »flag
T60.91T60.92T60.93T60.94  
Black
  »henbane
T60.91T60.92T60.93T60.94  
Black
  »leaf (40)
T60.91T60.92T60.93T60.94  
Black
  »widow spider (bite)
T60.91T60.92T60.93T60.94  
Black
  »widow spider (bite)
    »antivenin
T60.91T60.92T60.93T60.94  
D-ConT60.91T60.92T60.93T60.94  
D-Con
  »insecticide
T60.91T60.92T60.93T60.94  
D-Con
  »rodenticide
T60.91T60.92T60.93T60.94  
Fumigant NECT60.91T60.92T60.93T60.94  
Insecticide NECT60.91T60.92T60.93T60.94  
Insecticide NEC
  »carbamate
T60.91T60.92T60.93T60.94  
Insecticide NEC
  »chlorinated
T60.91T60.92T60.93T60.94  
Insecticide NEC
  »mixed
T60.91T60.92T60.93T60.94  
Insecticide NEC
  »organochlorine
T60.91T60.92T60.93T60.94  
Insecticide NEC
  »organophosphorus
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NECT60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »arsenic
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »chlorinated
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »cyanide
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »kerosene
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »mixture (of compounds)
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »naphthalene
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »organochlorine (compounds)
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »petroleum (distillate) (products) NEC
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »specified ingredient NEC
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »strychnine
T60.91T60.92T60.93T60.94  
Pesticide (dust) (fumes) (vapor) NEC
  »thallium
T60.91T60.92T60.93T60.94  

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.