2026 ICD-10-CM Diagnosis Code T60.4X3SToxic effect of rodenticides, assault, sequela
T60.4X3S is a billable ICD-10-CM diagnosis code for toxic effect of rodenticides, assault, 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. 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
T60.4X3S is exempt from POA reporting on inpatient claims to general acute care hospitals. Review other POA exempt codes.
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
Chloralose
a derivative of chloral hydrate that was used as a sedative but has been replaced by safer and more effective drugs. its most common use is as a general anesthetic in animal experiments.
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 |
|---|---|---|---|---|---|---|
| ANTU (alpha naphthylthiourea) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Brodifacoum | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Bromethalin | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Chloralose | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Chlorophacinone | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::42 (warfarin) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::269 (endrin) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::497 (dieldrin) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::1080 (sodium fluoroacetate) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::3422 (parathion) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::3911 (phorate) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::3956 (toxaphene) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::4049 (malathion) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::4069 (malathion) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::4124 (dicapthon) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::E (cortisone) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Compound::F (hydrocortisone) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Crimidine | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Diphacinone | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Naphthylthiourea (ANTU) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Norbormide | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Pindone | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Pyriminil | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Rat poison NEC | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Red squill (scilliroside) | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Rodenticide NEC | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Rough-on-rats | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Scilla, rat poison | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
| Scillaren | T60.4X1 | T60.4X2 | T60.4X3 | T60.4X4 | – | – |
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 T60.4X3S to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T60.4X3SOverview
Is T60.4X3S (Toxic effect of rodenticides, assault) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report toxic effect of rodenticides, assault, sequela on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character S in T60.4X3S mean?
The final character S makes this a sequela code: it reports a lingering problem that remains after the toxic effect of rodenticides, assault itself has resolved, not the original event.
What MS-DRG does T60.4X3S group to?
When toxic effect of rodenticides, assault, 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 T60.4X3S 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 rodenticides, assault, sequela on inpatient claims.
What is the ICD-9 equivalent of T60.4X3S?
Under the General Equivalence Mappings, toxic effect of rodenticides, assault, sequela converts to ICD-9-CM 909.1 (late eff nonmed substanc) and E969 (late effect assault). 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.
