Version 2024

2024 ICD-10-CM Diagnosis Code T60.3X3A

Toxic effect of herbicides and fungicides, assault, initial encounter

ICD-10-CM Code:: T60.3X3A
ICD-10 Code for:: Toxic effect of herbicides and fungicides, assault, init
Is Billable?: Yes - Valid for Submission
Chronic Condition Indicator: ^[1]: Not chronic
Code Navigator:

Code Information
Clinical Classification
Clinical Information
Coding Guidelines
Tabular List of Diseases and Injuries
Diagnostic Related Groups Mapping
Convert to ICD-9 Code
Table of Drugs and Chemicals
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Injury, poisoning and certain other consequences of external causes
(S00–T88)
- Toxic effects of substances chiefly nonmedicinal as to source
  (T51-T65)
  - Toxic effect of pesticides
    (T60)

T60.3X3A is a billable diagnosis code used to specify a medical diagnosis of toxic effect of herbicides and fungicides, assault, initial 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.

T60.3X3A is an initial encounter code, includes a 7th character and should be used while the patient is receiving active treatment for a condition like toxic effect of herbicides and fungicides assault. According to ICD-10-CM Guidelines an "initial encounter" doesn't necessarily means "initial visit". The 7th character should be used when the patient is undergoing active treatment regardless if new or different providers saw the patient over the course of a treatment. The appropriate 7th character codes should also be used even if the patient delayed seeking treatment for a condition.

Clinical Classification

Clinical Category	CCSR Category Code	Inpatient Default CCSR	Outpatient Default CCSR
External cause codes: intent of injury, assault	EXT022	N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.	N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
External cause codes: poisoning by non-drug	EXT015	N - Not default inpatient assignment for principal diagnosis or first-listed diagnosis.	N - Not default outpatient assignment for principal diagnosis or first-listed diagnosis.
Toxic effects, initial encounter	INJ023	Y - Yes, default inpatient assignment for principal diagnosis or first-listed diagnosis.	Y - Yes, default outpatient assignment for principal diagnosis or first-listed diagnosis.

Clinical Information

Captan
one of the phthalimide fungicides.
Cycloheximide
antibiotic substance isolated from streptomycin-producing strains of streptomyces griseus. it acts by inhibiting elongation during protein synthesis.
Dicamba
a chlorinated organic herbicide.
Diuron
a pre-emergent herbicide.
Paraquat
a poisonous dipyridilium compound used as contact herbicide. contact with concentrated solutions causes irritation of the skin, cracking and shedding of the nails, and delayed healing of cuts and wounds.
Propanil
a chlorinated anilide that is used as an herbicide.
Simazine
a triazine herbicide.
Thiram
a dithiocarbamate chemical, used commercially in the rubber processing industry and as a fungicide. in vivo studies indicate that it inactivates the enzyme glutathione reductase. it has mutagenic activity and may induce chromosomal aberrations.

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

T60.3X3A is grouped with Diagnostic Related Groups - MS-DRG Mapping

Diagnostic Related Groups (DRGs) are a classification system used to group together diagnosis codes for the purpose of reimbursement and healthcare management. DRGs are used to standardize the way hospitals and other providers are paid for inpatient services. In this system patients are grouped together based on their principal diagnosis in areas referred to as Major Diagnostic Categories (MDC). Once a patient is assigned a particular diagnostic category, providers receive a predetermined payment rate for the services rendered. This reimbursement rate is often fixed and is meant to cover the cost of care for that patient. Reimbursement is also affected by the relative weight of a diagnostic related group based on the severity of a patient's illness and the associated cost of care during hospitalization.

Diagnostic related groups encourage healthcare providers to focus on quality and efficiency in patient care while managing costs effectively. The diagnosis code is present in the following groups for version MS-DRG V41.0 applicable from 10/01/2023 through 09/30/2024.

MS-DRG	MS-DRG Title	MCD	Relative Weight
917	POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC	21	1.5959
918	POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC	21	0.8609

The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.

Convert T60.3X3A to ICD-9-CM

ICD-9-CM Code: 989.89 - Tox eff nonmed subst NEC
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: E962.1 - Assault-pois w solid/liq
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 T60.3X3 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.

Filter table of drugs and chemicals:

Substance	Poisoning Accidental (unintentional)	Poisoning Accidental (self-harm)	Poisoning Assault	Poisoning Undetermined
2,4-D (dichlorophen-oxyacetic acid)	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Benzimidazole	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Bordeaux mixture	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Bromoxynil	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Captafol	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Captan	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Chlorate (potassium) (sodium) NEC	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Chlorate (potassium) (sodium) NEC »herbicide	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Chloroacetic acid	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Chlorothalonil	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cupric	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cupric »acetate	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cupric »acetoarsenite	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cupric »arsenate	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cupric »gluconate	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cupric »oleate	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cupric »sulfate	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Cycloheximide	T60.3X1	T60.3X2	T60.3X3	T60.3X4
2,4-D	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dalapon (sodium)	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dicamba	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dichlobenil	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dichlone	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dichloronaphthoquinone	T60.3X1	T60.3X2	T60.3X3	T60.3X4
2,4-Dichlorophenoxyacetic acid	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dichloropropene	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dichloropropionic acid	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Dinoseb	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Diquat (dibromide)	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Diuron	T60.3X1	T60.3X2	T60.3X3	T60.3X4
DNBP	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Endothall	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Folpet	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Fungicide NEC (nonmedicinal)	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Glyphosate	T60.3X1	T60.3X2	T60.3X3	T60.3X4
HCB	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Herbicide NEC	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Hexachlorobenzene (vapor)	T60.3X1	T60.3X2	T60.3X3	T60.3X4
MCPA	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Mecoprop	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Methylchlorophenoxy-acetic acid	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Monochloroacetic acid	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Monuron	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Paraformaldehyde	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Paraquat	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Propachlor	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Propanil	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Simazine	T60.3X1	T60.3X2	T60.3X3	T60.3X4
2,4,5-T	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Tetramethylthiuram (disulfide) NEC	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Tetramethylthiuram (disulfide) NEC »medicinal	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Thiram	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Thiram »medicinal	T60.3X1	T60.3X2	T60.3X3	T60.3X4
TMTD	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Triazine (herbicide)	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Triazole (herbicide)	T60.3X1	T60.3X2	T60.3X3	T60.3X4
2,4,5-Trichlorophen-oxyacetic acid	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Verdigris	T60.3X1	T60.3X2	T60.3X3	T60.3X4
Weed killers NEC	T60.3X1	T60.3X2	T60.3X3	T60.3X4

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]

Other ICD-10-CM Codes Commonly Used for Similar Conditions

Filter related codes list:

T60 Toxic effect of pesticides.
T60.0 Toxic effect of organophosphate and carbamate insecticides.
T60.0X Toxic effect of organophosphate and carbamate insecticides.
T60.0X1 Toxic effect of organophosphate and carbamate insecticides, accidental (unintentional).
T60.0X1A Toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), initial encounter.
T60.0X1D Toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), subsequent encounter.
T60.0X1S Toxic effect of organophosphate and carbamate insecticides, accidental (unintentional), sequela.
T60.0X2 Toxic effect of organophosphate and carbamate insecticides, intentional self-harm.
T60.0X2A Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, initial encounter.
T60.0X2D Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, subsequent encounter.
T60.0X2S Toxic effect of organophosphate and carbamate insecticides, intentional self-harm, sequela.
T60.0X3 Toxic effect of organophosphate and carbamate insecticides, assault.
T60.0X3A Toxic effect of organophosphate and carbamate insecticides, assault, initial encounter.
T60.0X3D Toxic effect of organophosphate and carbamate insecticides, assault, subsequent encounter.
T60.0X3S Toxic effect of organophosphate and carbamate insecticides, assault, sequela.
T60.0X4 Toxic effect of organophosphate and carbamate insecticides, undetermined.
T60.0X4A Toxic effect of organophosphate and carbamate insecticides, undetermined, initial encounter.
T60.0X4D Toxic effect of organophosphate and carbamate insecticides, undetermined, subsequent encounter.
T60.0X4S Toxic effect of organophosphate and carbamate insecticides, undetermined, sequela.
T60.1 Toxic effect of halogenated insecticides.
T60.1X Toxic effect of halogenated insecticides.
T60.1X1 Toxic effect of halogenated insecticides, accidental (unintentional).
T60.1X1A Toxic effect of halogenated insecticides, accidental (unintentional), initial encounter.
T60.1X1D Toxic effect of halogenated insecticides, accidental (unintentional), subsequent encounter.
T60.1X1S Toxic effect of halogenated insecticides, accidental (unintentional), sequela.
T60.1X2 Toxic effect of halogenated insecticides, intentional self-harm.
T60.1X2A Toxic effect of halogenated insecticides, intentional self-harm, initial encounter.
T60.1X2D Toxic effect of halogenated insecticides, intentional self-harm, subsequent encounter.
T60.1X2S Toxic effect of halogenated insecticides, intentional self-harm, sequela.
T60.1X3 Toxic effect of halogenated insecticides, assault.
T60.1X3A Toxic effect of halogenated insecticides, assault, initial encounter.
T60.1X3D Toxic effect of halogenated insecticides, assault, subsequent encounter.
T60.1X3S Toxic effect of halogenated insecticides, assault, sequela.
T60.1X4 Toxic effect of halogenated insecticides, undetermined.
T60.1X4A Toxic effect of halogenated insecticides, undetermined, initial encounter.
T60.1X4D Toxic effect of halogenated insecticides, undetermined, subsequent encounter.
T60.1X4S Toxic effect of halogenated insecticides, undetermined, sequela.
T60.2 Toxic effect of other insecticides.
T60.2X Toxic effect of other insecticides.
T60.2X1 Toxic effect of other insecticides, accidental (unintentional).
T60.2X1A Toxic effect of other insecticides, accidental (unintentional), initial encounter.
T60.2X1D Toxic effect of other insecticides, accidental (unintentional), subsequent encounter.
T60.2X1S Toxic effect of other insecticides, accidental (unintentional), sequela.
T60.2X2 Toxic effect of other insecticides, intentional self-harm.
T60.2X2A Toxic effect of other insecticides, intentional self-harm, initial encounter.
T60.2X2D Toxic effect of other insecticides, intentional self-harm, subsequent encounter.
T60.2X2S Toxic effect of other insecticides, intentional self-harm, sequela.
T60.2X3 Toxic effect of other insecticides, assault.
T60.2X3A Toxic effect of other insecticides, assault, initial encounter.
T60.2X3D Toxic effect of other insecticides, assault, subsequent encounter.
T60.2X3S Toxic effect of other insecticides, assault, sequela.

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.

2024 ICD-10-CM Diagnosis Code T60.3X3A

Toxic effect of herbicides and fungicides, assault, initial encounter

Code Classification

Clinical Classification

Clinical Information

Captan

Cycloheximide

Dicamba

Diuron

Paraquat

Propanil

Simazine

Thiram