2024 ICD-10-CM Diagnosis Code T60.0X1S
Toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), sequela
- ICD-10-CM Code:
- T60.0X1S
- ICD-10 Code for:
- Toxic effect of organophos and carbamate insect, acc, sqla
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
- Code Information
- Approximate Synonyms
- Clinical Classification
- Clinical Information
- Coding Guidelines
- Tabular List of Diseases and Injuries
- Diagnostic Related Groups Mapping
- Present on Admission (POA)
- Convert to ICD-9 Code
- Table of Drugs and Chemicals
- Patient Education
- Other Codes Used Similar Conditions
- Code History
T60.0X1S is a billable diagnosis code used to specify a medical diagnosis of toxic effect of organophosphate and carbamate insecticides, 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.
T60.0X1S 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 organophosphate and carbamate insecticides 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.
Approximate Synonyms
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis 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 carbamic ester
- 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
- Pesticide adverse reaction
- 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
Clinical Classification
Clinical Category is Poisoning/toxic effect/adverse effects/underdosing, sequela
- CCSR Category Code: INJ075
- Inpatient Default CCSR: Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.
- Outpatient Default CCSR: Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.
Clinical Information
Organophosphate Poisoning
poisoning due to exposure to organophosphorus compounds, such as organophosphates; organothiophosphates; and organothiophosphonates.
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)
T60.0X1S 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 Indicator | Reason for Code | CMS will pay the CC/MCC DRG? |
---|---|---|
Y | Diagnosis was present at time of inpatient admission. | YES |
N | Diagnosis was not present at time of inpatient admission. | NO |
U | Documentation insufficient to determine if the condition was present at the time of inpatient admission. | NO |
W | Clinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission. | YES |
1 | Unreported/Not used - Exempt from POA reporting. | NO |
Convert T60.0X1S 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 T60.0X1 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 |
---|---|---|---|---|---|---|
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 tetraphos-phate | 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 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.