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T60.3X1A vs T60.3X1D

T60.3X1A (Toxic effect of herbicides and fungicides, accidental (unintentional), initial encounter) compared with T60.3X1D (Toxic effect of herbicides and fungicides, accidental (unintentional), subsequent encounter), from the official CMS tabular data. T60.3X1A and T60.3X1D code the same injury at a different phase of treatment.

Can these codes be reported together?

Same injury, other encounter phase. T60.3X1A and T60.3X1D code the same injury at a different phase of treatment, set by the 7th character.

The 7th character records the type of care given at the encounter being coded (ICD-10-CM Official Guidelines, Section I.C.19.a), so one encounter takes one of these, not both.

Side by side

T60.3X1AToxic effect of herbicides and fungicides, accidental (unintentional), initial encounterT60.3X1DToxic effect of herbicides and fungicides, accidental (unintentional), subsequent encounter
Billing statusBillableBillable
ClassificationS00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)S00-T88 — Injury, Poisoning and Certain Other Consequences of External Causes (S00-T88)
DefinitionToxic effect of herbicides and fungicides, accidental (unintentional), initial encounter is a billable ICD-10-CM diagnosis code (T60.3X1A).Toxic effect of herbicides and fungicides, accidental (unintentional), subsequent encounter is a billable ICD-10-CM diagnosis code (T60.3X1D).
7th characterThe appropriate 7th character is to be added to each code from category T60The appropriate 7th character is to be added to each code from category T60
Includes
toxic effect of wood preservatives
Toxic effect of herbicides and fungicides NOS
toxic effect of wood preservatives
Toxic effect of herbicides and fungicides NOS
Use additional code
code(s):
for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
personal history of foreign body fully removed (Z87.821)
code(s):
for all associated manifestations of toxic effect, such as: respiratory conditions due to external agents (J60-J70)
personal history of foreign body fully removed (Z87.821)

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources