Valid for Submission
G40.911 is a billable diagnosis code used to specify a medical diagnosis of epilepsy, unspecified, intractable, with status epilepticus. The code G40.911 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code G40.911 might also be used to specify conditions or terms like new-onset refractory status epilepticus or status epilepticus due to refractory epilepsy.
Unspecified diagnosis codes like G40.911 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The code G40.911 is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Epilepsy: Counseling For Women Of Childbearing Potential With Epilepsy.
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code G40.911 are found in the index:
- - Disorder (of) - See Also: Disease;
- - Epilepsy, epileptic, epilepsia (attack) (cerebral) (convulsion) (fit) (seizure) - G40.909
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- New-onset refractory status epilepticus
- Status epilepticus due to refractory epilepsy
Convert G40.911 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code G40.911 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Quality Payment Program Measures
When code G40.911 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
|Quality Measure||Description||Quality Domain||Measure Type||High Priority||Submission Methods|
|Epilepsy: Counseling for Women of Childbearing Potential with Epilepsy||Percentage of all patients of childbearing potential (12 years and older) diagnosed with epilepsy who were counseled at least once a year about how epilepsy and its treatment may affect contraception and pregnancy.||Effective Clinical Care||Process||NO||Claims, Registry|
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
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