2024 ICD-10-CM Diagnosis Code T60.0X4D
Toxic effect of organophosphate and carbamate insecticides, undetermined, subsequent encounter
- ICD-10-CM Code:
- T60.0X4D
- ICD-10 Code for:
- Toxic effect of organophos and carbamate insect, undet, subs
- Is Billable?
- Yes - Valid for Submission
- Chronic Condition Indicator: [1]
- Not chronic
- Code Navigator:
T60.0X4D is a billable diagnosis code used to specify a medical diagnosis of toxic effect of organophosphate and carbamate insecticides, undetermined, subsequent encounter. 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.
T60.0X4D is a subsequent encounter code, includes a 7th character and should be used after the patient has completed active treatment for a condition like toxic effect of organophosphate and carbamate insecticides undetermined. According to ICD-10-CM Guidelines a "subsequent encounter" occurs when the patient is receiving routine care for the condition during the healing or recovery phase of treatment. Subsequent diagnosis codes are appropriate during the recovery phase, no matter how many times the patient has seen the provider for this condition. If the provider needs to adjust the patient's care plan due to a setback or other complication, the encounter becomes active again.
Clinical Classification
Clinical Category is Toxic effects, subsequent encounter
- CCSR Category Code: INJ060
- 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
Aldicarb
carbamate derivative used as an insecticide, acaricide, and nematocide.Benomyl
a systemic agricultural fungicide used for control of certain fungal diseases of stone fruit.Carbaryl
a carbamate insecticide and parasiticide. it is a potent anticholinesterase agent belonging to the carbamate group of reversible cholinesterase inhibitors. it has a particularly low toxicity from dermal absorption and is used for control of head lice in some countries.Chlorfenvinphos
an organophosphorus cholinesterase inhibitor that is used as an insecticide and an acaricide.Coumaphos
a organothiophosphorus cholinesterase inhibitor that is used as an anthelmintic, insecticide, and as a nematocide.Diazinon
a cholinesterase inhibitor that is used as an organothiophosphorus insecticide.Dichlorvos
an organophosphorus insecticide that inhibits acetylcholinesterase.Dimethoate
an organothiophosphorus cholinesterase inhibitor that is used as a systemic and contact insecticide.Disulfoton
an organothiophosphate insecticide.Fenthion
potent cholinesterase inhibitor used as an insecticide and acaricide.Leptophos
an organothiophosphate insecticide.Mevinphos
an organophosphate cholinesterase inhibitor that is used as an insecticide.Organophosphates
carbon-containing phosphoric acid derivatives. included under this heading are compounds that have carbon atoms bound to one or more oxygen atoms of the p(=o)(o)3 structure. note that several specific classes of endogenous phosphorus-containing compounds such as nucleotides; phospholipids; and phosphoproteins are listed elsewhere.Aryldialkylphosphatase
an enzyme which catalyzes the hydrolysis of an aryl-dialkyl phosphate to form dialkyl phosphate and an aryl alcohol. it can hydrolyze a broad spectrum of organophosphate substrates and a number of aromatic carboxylic acid esters. it may also mediate an enzymatic protection of low density lipoproteins against oxidative modification and the consequent series of events leading to atheroma formation. the enzyme was previously regarded to be identical with arylesterase (ec 3.1.1.2).Paraoxon
an organophosphate cholinesterase inhibitor that is used as a pesticide.Methyl Parathion
the methyl homolog of parathion. an effective, but highly toxic, organothiophosphate insecticide and cholinesterase inhibitor.Parathion
a highly toxic cholinesterase inhibitor that is used as an acaricide and as an insecticide.Phorate
a cholinesterase inhibitor that is used as an insecticide.Phosphamidon
an organophosphate cholinesterase inhibitor that is used as an insecticide.Propoxur
a carbamate insecticide.Trichlorfon
an organochlorophosphate cholinesterase inhibitor that is used as an insecticide for the control of flies and roaches. it is also used in anthelmintic compositions for animals. (from merck, 11th ed)
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)
T60.0X4D 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 T60.0X4D to ICD-9-CM
- ICD-9-CM Code: V58.89 - Other specfied aftercare
Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code.
Table of Drugs and Chemicals
The parent code T60.0X4 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.