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T60.4X1 vs T60.4X2

T60.4X1 (Toxic effect of rodenticides, accidental (unintentional)) compared with T60.4X2 (Toxic effect of rodenticides, intentional self-harm), from the official CMS tabular data. T60.4X1 and T60.4X2 code the same substance (ANTU) with a different intent.

Can these codes be reported together?

Same substance, different intent. T60.4X1 and T60.4X2 code the same substance (ANTU) with a different circumstance of exposure.

From the CMS Table of Drugs and Chemicals: accidental poisoning, intentional self-harm, assault, undetermined intent, adverse effect and underdosing are mutually exclusive columns — only one of them applies to a given encounter.

Side by side

T60.4X1Toxic effect of rodenticides, accidental (unintentional)T60.4X2Toxic effect of rodenticides, intentional self-harm
Billing statusNon-billable headerNon-billable header
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 rodenticides, accidental (unintentional) is a non-billable ICD-10-CM category code (T60.4X1).Toxic effect of rodenticides, intentional self-harm is a non-billable ICD-10-CM category code (T60.4X2).
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 rodenticides NOS
toxic effect of wood preservatives
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