2026 ICD-10-CM Diagnosis Code T60.2X1SToxic effect of other insecticides, accidental (unintentional), sequela
T60.2X1S is a billable ICD-10-CM diagnosis code for toxic effect of other insecticides, accidental (unintentional), sequela. The 7th character S marks it as a sequela code, which reports a problem that remains after the original condition has resolved. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923. The code is exempt from POA reporting. Coders also document this condition as adverse reaction to pyrethroid. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Poisoning/toxic effect/adverse effects/underdosing, sequela.
Code Identity
Code Classification
Present on Admission (POA)Billing
T60.2X1S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Adverse reaction to pyrethroid
- Alkane poisoning
- Pyrethrin toxicity
- Pyrethroid toxicity
- Toxic effect of naphthalene
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
Azadirachta
a plant genus of the family meliaceae. members contain azadirachtin a (a limonoid commonly referred to as azadirachtin) and other triterpenes. they have been used in pesticides. the old name of melia azadirachta is very similar to a related plant, melia azedarach.Camphor
a bicyclic monoterpene ketone found widely in plants, especially cinnamomum camphora. it is used topically as a skin antipruritic and as an anti-infective agent.Camphor 5-Monooxygenase
a soluble cytochrome p-450 enzyme that catalyzes camphor monooxygenation in the presence of putidaredoxin, putidaredoxin reductase, and molecular oxygen. this enzyme, encoded by the camc gene also known as cyp101, has been crystallized from bacteria and the structure is well defined. under anaerobic conditions, this enzyme reduces the polyhalogenated compounds bound at the camphor-binding site.Cinnamomum camphora
a tree, cinnamomum camphora (l.) j. presl, known as the source of camphor.Endosulfan
a polychlorinated compound used for controlling a variety of insects. it is practically water-insoluble, but readily adheres to clay particles and persists in soil and water for several years. its mode of action involves repetitive nerve-discharges positively correlated to increase in temperature. this compound is extremely toxic to most fish. (from comp biochem physiol (c) 1993 jul;105(3):347-61)Electron Transport Complex I
a flavoprotein and iron sulfur-containing oxidoreductase complex that catalyzes the conversion of ubiquinone to ubiquinol. in mitochondria the complex also couples its reaction to the transport of protons across the internal mitochondrial membrane. the nadh dehydrogenase component of the complex can be isolated and is listed as ec 1.6.99.3.Rotenone
a botanical insecticide that is an inhibitor of mitochondrial electron transport.
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 |
|---|---|---|---|---|---|---|
| Azadirachta | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Camphor | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Camphor::insecticide | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Camphor::medicinal | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Cyphenothrin | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| DDE (bis (chlorophenyl)-dichloroethylene) | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Derris root | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Endosulfan | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Moth balls [See Also: Pesticide] | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Moth balls [See Also: Pesticide]::naphthalene | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Moth balls [See Also: Pesticide]::paradichlorobenzene | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Naphthalene (non-chlorinated) | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Naphthalene (non-chlorinated)::chlorinated | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Naphthalene (non-chlorinated)::chlorinated::vapor | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Naphthalene (non-chlorinated)::insecticide or moth repellent | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Naphthalene (non-chlorinated)::insecticide or moth repellent::chlorinated | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Naphthalene (non-chlorinated)::vapor | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Naphthalene (non-chlorinated)::vapor::chlorinated | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Nicotine (insecticide) (spray) (sulfate) NEC | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Nicotine (insecticide) (spray) (sulfate) NEC::from tobacco | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Nicotine (insecticide) (spray) (sulfate) NEC::from tobacco::cigarettes | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Nicotine (insecticide) (spray) (sulfate) NEC::not insecticide | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Pyrethrin, pyrethrum (nonmedicinal) | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Rotenone | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
| Tetramethrin | T60.2X1 | T60.2X2 | T60.2X3 | T60.2X4 | – | – |
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 T60.2X1S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T60.2X1SOverview
Is T60.2X1S a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of other insecticides, accidental (unintentional), sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T60.2X1S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the toxic effect of other insecticides, accidental (unintentional) itself has resolved, not the original event.
What MS-DRG does T60.2X1S group to?
When toxic effect of other insecticides, accidental (unintentional), sequela is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, with relative weights from 1.0177 to 1.7494 depending on complications. Higher weights mean higher Medicare reimbursement.
Is T60.2X1S exempt from POA reporting?
Yes. CMS lists this code among those exempt from present on admission reporting, so hospitals do not assign a POA indicator for toxic effect of other insecticides, accidental (unintentional), sequela on inpatient claims.
What is the ICD-9 equivalent of T60.2X1S?
Under the General Equivalence Mappings, toxic effect of other insecticides, accidental (unintentional), sequela converts to ICD-9-CM 909.1 (late eff nonmed substanc) and E929.2 (late eff acc poisoning). 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.
