2026 ICD-10-CM Diagnosis Code T60.0X1AToxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter
T60.0X1A is a billable ICD-10-CM diagnosis code for toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 917 through 918. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under External cause codes: intent of injury, accidental/unintentional; External cause codes: poisoning by non-drug; and Toxic effects, initial encounter.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Accidental exposure to gluphosphate
- Accidental exposure to organophosphorus herbicide
- Accidental poisoning by aldicarb
- Accidental poisoning by carbamates
- Accidental poisoning by carbamic ester
- Accidental poisoning by carbaryl
- Accidental poisoning by demeton
- Accidental poisoning by diazinon
- Accidental poisoning by dichlorvos
- Accidental poisoning by insecticides of organophosphorus compounds
- Accidental poisoning by malathion
- Accidental poisoning by methyl parathion
- Accidental poisoning by parathion
- Accidental poisoning by phorate
- Accidental poisoning by phosdrin
- Accidental poisoning by propoxur
- Azinphos-ethyl poisoning
- Azinphos-methyl poisoning
- Carbamate insecticide toxicity
- Carbamate pesticide adverse reaction
- Carbamate poisoning
- Carbaryl adverse reaction
- Carbofuran poisoning
- Carbophenothion poisoning
- Chlorfenvinphos poisoning
- Chlorpyrifos poisoning
- Coumaphos poisoning
- Crufomate poisoning
- Demeton poisoning
- Diazinon poisoning
- Dimethoate poisoning
- Dioxathion poisoning
- Disulfoton poisoning
- EPN poisoning
- Famphur poisoning
- Fenthion poisoning
- Intermediate syndrome
- Malathion adverse reaction
- Methomyl poisoning
- Methyl parathion poisoning
- Mevinphos poisoning
- Naled poisoning
- Organophosphate encephalopathy
- Organophosphate pesticide adverse reaction
- Organophosphate poisoning
- Oxydemeton-methyl poisoning
- Pesticide adverse reaction
- Phosmet poisoning
- Poisoning by anticholinesterase
- Poisoning by organophosphorus anticholinesterase
- Propoxur poisoning
- Ronnel poisoning
- Terbufos poisoning
- Tetrachlorvinphos poisoning
- Tetraethyl pyrophosphate poisoning
- Thiocarbamate compound toxicity
- Toxic effect of carbaryl
- Toxic effect of dichlorvos
- Toxic effect of malathion
- Toxic effect of parathion
- Toxic effect of phorate
- Trichlorfon poisoning
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Toxic effect of pesticides (T60). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Organophosphate Poisoning
poisoning due to exposure to organophosphorus compounds, such as organophosphates; organothiophosphates; and organothiophosphonates.
Table of Drugs and ChemicalsClinical
Substances in the Table of Drugs and Chemicals that reference this code family. Always confirm in the Tabular List before coding.
| Substance | Accidental | Self-harm | Assault | Undetermined | Adverse Effect | Underdosing |
|---|---|---|---|---|---|---|
| Aldicarb | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Azinphos (ethyl) (methyl) | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Benomyl | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Carbamate (insecticide) | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Carbaril | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Carbaryl | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Carbophenothion | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Chlorfenvinphos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Chlormephos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Chloropyrifos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Chlorthiophos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Chlorthion | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Coumaphos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Demephion -O and -S | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Demeton -O and -S | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Diazinon | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dicapthon | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dichlorvos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dicrotophos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dimefox | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dimethoate | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dimetilan | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dioxathion | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Disulfoton | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Dithiocarbamate | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| EPN | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Ethion | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Fenthion | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Fluorophosphate insecticide | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| HETP | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Hexaethyl tetraphosphate | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Leptophos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Mephosfolan | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Metaphos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Metrifonate | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Mevinphos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Mipafox | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Naled | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Octamethyl pyrophos-phoramide | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| OMPA | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Organophosphates | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Paraoxon | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Parathion | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Phenylsulfthion | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Phorate | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Phosdrin | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Phosfolan | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Phosphamidon | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Propoxur | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Prothoate | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Quinalphos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Schradan | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| TEPP | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Terbufos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Thiocarbamate (insecticide) | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Thiofos | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Thionazin | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Trichlorfon | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Trichloronate | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
| Zineb | T60.0X1 | T60.0X2 | T60.0X3 | T60.0X4 | – | – |
Patient EducationClinical
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.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert T60.0X1A to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T60.0X1AOverview
Is T60.0X1A a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T60.0X1A mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), such as an emergency visit or first evaluation.
What MS-DRG does T60.0X1A group to?
When toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 917, 918, with relative weights from 0.8571 to 1.5684 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of T60.0X1A?
Under the General Equivalence Mappings, toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter converts to ICD-9-CM 989.3 (tox eff organphos/carbam) and E863.1 (acc pois-phosph pesticid). The mapping is approximate, so confirm the match fits the documentation.
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.
