Epilepsy ICD-10-CM Codes
A comprehensive guide to ICD-10-CM codes commonly used for diagnosing and documenting epilepsy in 2023.
Fact Checked by Ericka Pingol.
What ICD-10 Codes are Used for Epilepsy?
Epilepsy is a neurological condition characterized by recurrent seizures. Accurate and precise coding using the ICD-10-CM is critical for diagnosis, treatment planning, and billing. This guide aims to help healthcare providers understand the ICD-10-CM codes commonly used for epilepsy.
Here are some commonly used ICD-10-CM codes for epilepsy:
G40.801: Other epilepsy, intractable
This code is used when epilepsy is not adequately controlled despite medical intervention.
G40.802: Other epilepsy, not intractable
This code is used for cases of epilepsy that are controllable with medication.
G40.909: Epilepsy, unspecified, not intractable
This code is used for unspecified cases of epilepsy that are not intractable.
G40.211: Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable
This code is used for cases of focal epilepsy that are intractable.
G40.A01: Absence epileptic syndrome, not intractable, with status epilepticus
This code is used for cases of absence seizures with status epilepticus that are not intractable.
Which Epilepsy ICD Codes are Billable:
- G40.801: Yes
- G40.802: Yes
- G40.909: Yes
- G40.211: Yes
- G40.A01: Yes
Clinical Information
- Epilepsy can be caused by various factors such as genetic predisposition, brain injury, or an underlying neurological condition.
- Seizures can manifest in different forms, from absence seizures to complex partial seizures.
- Diagnosis typically involves electroencephalogram (EEG) tests, MRI scans, and a comprehensive medical history.
- Treatment usually involves anti-seizure medications, and in some cases, surgical intervention may be considered.
- Early diagnosis and treatment are essential for effective management of the condition.
Synonyms Include:
- Seizure Disorder
- Epileptic Seizures
- Partial Seizures
- Generalized Epilepsy
- Complex Epilepsy
Commonly asked questions
ICD-10-CM codes for epilepsy should be used in medical documentation for diagnosis, treatment planning, and billing. These codes provide a standardized method for healthcare professionals to identify and categorize epilepsy types and severities.
Common treatments generally involve anti-seizure medications like phenytoin, valproic acid, and lamotrigine. For some intractable cases, surgical procedures like vagus nerve stimulation or resective surgery may be considered.
A diagnosis code for epilepsy identifies the specific form and severity of epilepsy a patient is experiencing. These codes are vital for healthcare providers for standardized diagnosis and treatment planning and are also important for billing and statistical purposes.
