Not Valid for Submission
G40 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of epilepsy and recurrent seizures. The code is not specific and is NOT valid for the year 2021 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.
Specific Coding for Epilepsy and recurrent seizures
Non-specific codes like G40 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for epilepsy and recurrent seizures:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code G40:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- conversion disorder with seizures F44.5
- convulsions NOS R56.9
- post traumatic seizures R56.1
- seizure convulsive NOS R56.9
- seizure of newborn P90
Type 2 ExcludesType 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- hippocampal sclerosis G93.81
- mesial temporal sclerosis G93.81
- temporal sclerosis G93.81
- Todd's paralysis G83.84
- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Information for Patients
Epilepsy is a brain disorder that causes people to have recurring seizures. The seizures happen when clusters of nerve cells, or neurons, in the brain send out the wrong signals. People may have strange sensations and emotions or behave strangely. They may have violent muscle spasms or lose consciousness.
Epilepsy has many possible causes, including illness, brain injury, and abnormal brain development. In many cases, the cause is unknown.
Doctors use brain scans and other tests to diagnose epilepsy. It is important to start treatment right away. There is no cure for epilepsy, but medicines can control seizures for most people. When medicines are not working well, surgery or implanted devices such as vagus nerve stimulators may help. Special diets can help some children with epilepsy.
NIH: National Institute of Neurological Disorders and Stroke
- Brain surgery (Medical Encyclopedia)
- EEG (Medical Encyclopedia)
- Epilepsy (Medical Encyclopedia)
- Epilepsy - children (Medical Encyclopedia)
- Epilepsy - children - discharge (Medical Encyclopedia)
- Epilepsy or seizures - discharge (Medical Encyclopedia)
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