2026 ICD-10-CM Diagnosis Code G40.911Epilepsy, unspecified, intractable, with status epilepticus

ICD-10-CM Codes›G00–G99›G40-G47›G40

ICD-10-CM G40.911
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

G40.911 is a billable ICD-10-CM diagnosis code for epilepsy, unspecified, intractable, with status epilepticus. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 100 through 101. Coders also document this condition as new-onset refractory status epilepticus. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Epilepsy; convulsions.

Code Identity

ICD-10-CM Code
G40.911
Billable Status
Yes — Valid for Submission
Code Describes
Epilepsy, unspecified, intractable, with status epilepticus
Short Description
Epilepsy, unspecified, intractable, with status epilepticus
Same as the full description in the CMS dataset.
Parent Code
G40.91
Epilepsy, unspecified, intractable

Code Classification

ChapterG00–G99Diseases of the nervous system
SectionG40-G47Episodic and paroxysmal disorders
CategoryG40Epilepsy and recurrent seizures
This CodeG40.911Epilepsy, unspecified, intractable, with status epilepticus

Approximate SynonymsGuidance

Alternate terms and clinical phrases that map to this code.

  • New-onset refractory status epilepticus

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Disorder(of)
      • seizure
        • intractable
          • with status epilepticus
    • Epilepsy, epileptic, epilepsia(attack) (cerebral) (convulsion) (fit) (seizure)
      • intractable
        • with status epilepticus
    • Seizure(s)
      • intractable
        • with status epilepticus

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NVS009
Epilepsy; convulsions
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Epilepsy

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.

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert G40.911 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
345.91 Epilepsy NOS w intr epil
Approximate The match is approximate rather than exact.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About G40.911Overview

Is G40.911 (Epilepsy, unspecified, intractable) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report epilepsy, unspecified, intractable, with status epilepticus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does G40.911 group to?

When epilepsy, unspecified, intractable, with status epilepticus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 100, 101, with relative weights from 0.9026 to 1.9368 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of G40.911?

Under the General Equivalence Mappings, epilepsy, unspecified, intractable, with status epilepticus converts to ICD-9-CM 345.91 (epilepsy NOS w intr epil). The mapping is approximate, so confirm the match fits the documentation.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.