2024 ICD-10-CM Diagnosis Code T65.6X1S

Toxic effect of paints and dyes, not elsewhere classified, accidental (unintentional), sequela

ICD-10-CM Code:
T65.6X1S
ICD-10 Code for:
Toxic effect of paints and dyes, NEC, accidental, sequela
Is Billable?
Yes - Valid for Submission
Chronic Condition Indicator: [1]
Not chronic
Code Navigator:

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 other and unspecified substances
        (T65)

T65.6X1S is a billable diagnosis code used to specify a medical diagnosis of toxic effect of paints and dyes, not elsewhere classified, 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.

T65.6X1S 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 paints and dyes not elsewhere classified 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 anticlimbing paint
  • Accidental exposure to antifouling paint
  • Accidental exposure to antigraffiti paint
  • Accidental exposure to paint
  • Accidental exposure to paint
  • Accidental exposure to paint
  • Accidental exposure to paint
  • Accidental exposure to paint
  • Accidental exposure to solid paint
  • Accidental exposure to special finish paint
  • Accidental poisoning by lacquers
  • Accidental poisoning by non-lead paints
  • Accidental poisoning by oil colors
  • Acute phototoxic reaction
  • Aerosol paint causing toxic effect
  • Anticlimbing paint causing toxic effect
  • Antifouling paint causing toxic effect
  • Antigraffiti paint causing toxic effect
  • Azo-dye-induced angioedema-urticaria
  • Blacking causing toxic effect
  • Liquid paint causing toxic effect
  • Paint causing toxic effect
  • Phototoxic reaction to dye
  • Phototoxic reaction to topical chemical
  • Shoe care product causing toxic effect
  • Shoe dye causing toxic effect
  • Solid paint causing toxic effect
  • Special finish paint causing toxic effect

Clinical Classification

Clinical Information

  • Lacquer

    a liquid resinous varnish solubilized in a volatile solvent which may be combined with a pigment. it forms a hard, glossy, and protective coating when applied to wood or metal.

Coding Guidelines

The appropriate 7th character is to be added to each code from block Toxic effect of other and unspecified substances (T65). Use the following options for the aplicable episode of care:

  • A - initial encounter
  • D - subsequent encounter
  • S - sequela

Present on Admission (POA)

T65.6X1S 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 IndicatorReason for CodeCMS will pay the CC/MCC DRG?
YDiagnosis was present at time of inpatient admission.YES
NDiagnosis was not present at time of inpatient admission.NO
UDocumentation insufficient to determine if the condition was present at the time of inpatient admission.NO
WClinically undetermined - unable to clinically determine whether the condition was present at the time of inpatient admission.YES
1Unreported/Not used - Exempt from POA reporting. NO

Convert T65.6X1S 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 T65.6X1 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
AcridineT65.6X1T65.6X2T65.6X3T65.6X4  
Acridine
  »vapor
T65.6X1T65.6X2T65.6X3T65.6X4  
CochinealT65.6X1T65.6X2T65.6X3T65.6X4  
Cochineal
  »medicinal products
T65.6X1T65.6X2T65.6X3T65.6X4  
Dye NECT65.6X1T65.6X2T65.6X3T65.6X4  
Dye NEC
  »antiseptic
T65.6X1T65.6X2T65.6X3T65.6X4  
Dye NEC
  »diagnostic agents
T65.6X1T65.6X2T65.6X3T65.6X4  
Dye NEC
  »pharmaceutical NEC
T65.6X1T65.6X2T65.6X3T65.6X4  
LacquerT65.6X1T65.6X2T65.6X3T65.6X4  
Paint NECT65.6X1T65.6X2T65.6X3T65.6X4  
Paint NEC
  »cleaner
T65.6X1T65.6X2T65.6X3T65.6X4  
Paint NEC
  »fumes NEC
T65.6X1T65.6X2T65.6X3T65.6X4  
Paint NEC
  »lead (fumes)
T65.6X1T65.6X2T65.6X3T65.6X4  
Paint NEC
  »solvent NEC
T65.6X1T65.6X2T65.6X3T65.6X4  
Paint NEC
  »stripper
T65.6X1T65.6X2T65.6X3T65.6X4  
StainsT65.6X1T65.6X2T65.6X3T65.6X4  

Patient Education


Household Products

The products you use for cleaning, carpentry, auto repair, gardening, and many other household uses can contain ingredients that can harm you, your family, and the environment. These include :

  • Oven and drain cleaners
  • Cleaning and disinfecting products, including bleach and antibacterial cleaners
  • Laundry powder
  • Floor polish
  • Paint thinners, strippers, and removers
  • Pesticides
  • Grease and rust removers
  • Motor oil and fuel additives
  • Arts and craft supplies

Toxic substances in these products can cause harm if inhaled, swallowed, or absorbed through the skin. People respond to toxic substances in different ways. At high doses, a toxic substance might cause birth defects or other serious problems, including brain damage or death.

To avoid problems, keep products in the containers they come in and use them exactly as the label says. Follow label directions or get medical help if you swallow or inhale them or get them on your skin.

Environmental Protection Agency


[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.