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ICD-10-CM 2027 diagnosis code

T60.2X4AToxic effect of other insecticides, undetermined, initial encounter

✓ Billable / specificRequires 7th character

T60.2X4A is a valid, billable ICD-10-CM code for toxic effect of other insecticides, undetermined, initial encounter. It can be reported on claims for dates of service from October 1, 2026 – September 30, 2027.Short description: Toxic effect of oth insecticides, undetermined, init encntr

Code unchanged since ICD-10-CM took effect on October 1, 2015. Source: official FY2027 ICD-10-CM release from CDC/NCHS and CMS. Page updated September 29, 2026. About our data

About T60.2X4A

T60.2X4A is the ICD-10-CM diagnosis code for toxic effect of other insecticides, undetermined, initial encounter. It belongs to category T60 (toxic effect of pesticides), block T51-T65 (toxic effects of substances chiefly nonmedicinal as to source) and chapter 19 (injury, poisoning and certain other consequences of external causes). It is billable, so it can be reported on its own for dates of service from October 1, 2026 through September 30, 2027.

The 7th character "A" means initial encounter: use it while the patient is receiving active treatment for the condition.

It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.

In MS-DRG v44.0, it is part of the grouping logic for DRG 917 (Poisoning and Toxic Effects of Drugs with MCC, relative weight 1.57) and DRG 918 (Poisoning and Toxic Effects of Drugs without MCC, relative weight 0.872), in MDC 21 (Injuries, Poisonings and Toxic Effects of Drugs), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.

It has been part of ICD-10-CM since the code set took effect on October 1, 2015 and hasn't changed since.

Before ICD-10, this condition was coded in ICD-9-CM as 989.4 (toxic effect of other pesticides, not elsewhere classified) and E980.7 (poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers, undetermined whether accidentally or purposely inflicted).

7th character

Ainitial encounter

Other encounter types for T60.2X4:

Notes that apply from higher levels

Instructions written at a parent level also apply to T60.2X4A.

› From T60 Toxic effect of pesticides
Includes
  • toxic effect of wood preservatives

Broader instructions also apply from T51-T65 Toxic effects of substances chiefly nonmedicinal as to source and Chapter 19: Injury, poisoning and certain other consequences of external causes.

MS-DRG v44.0 grouping

All DRGs →

Inpatient MS-DRGs this diagnosis can group to, as the principal or a secondary diagnosis, depending on the rest of the claim.

ICD-9-CM equivalent

Converter →
  • 989.4Toxic effect of other pesticides, not elsewhere classifiedapproximate, combination
  • E980.7Poisoning by agricultural and horticultural chemical and pharmaceutical preparations other than plant foods and fertilizers, undetermined whether accidentally or purposely inflictedapproximate, combination

From the CMS 2018 General Equivalence Mappings (GEMs), the final GEMs release.

Code history

  1. 2016
  2. 2017
  3. 2018
  4. 2019
  5. 2020
  6. 2021
  7. 2022
  8. 2023
  9. 2024
  10. 2025
  11. 2026
  12. 2027
  • FY2016 (effective 10/1/2015): Added (first year of ICD-10-CM)
  • No changes since FY2016.

Common questions about T60.2X4A

Is T60.2X4A billable?

Yes. T60.2X4A is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).

What does the "A" at the end of T60.2X4A mean?

It is the 7th character for initial encounter. Per the official guidelines, use it while the patient is receiving active treatment for the condition.

Can T60.2X4A be used as a principal diagnosis?

Yes. The Medicare Code Editor doesn't restrict T60.2X4A as a principal diagnosis.

Is T60.2X4A a CC or MCC?

No. T60.2X4A is neither a CC nor an MCC under MS-DRG v44.0.

What DRG does T60.2X4A group to?

T60.2X4A is used in the MS-DRG v44.0 logic for MS-DRG 917 (Poisoning and Toxic Effects of Drugs with MCC) and MS-DRG 918 (Poisoning and Toxic Effects of Drugs without MCC). Which one applies depends on whether it is the principal diagnosis and on the rest of the claim.

What is the ICD-9 code for T60.2X4A?

The CMS General Equivalence Mappings map T60.2X4A to ICD-9-CM 989.4 and E980.7.