2026 ICD-10-CM Diagnosis Code G40.A01Absence epileptic syndrome, not intractable, with status epilepticus
ICD-10-CM Codes›G00–G99›G40-G47›G40
- Billable — Valid for Submission
- Chronic Condition
G40.A01 is a billable ICD-10-CM diagnosis code for absence epileptic syndrome, not 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. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Epilepsy; convulsions.
Code Identity
Code Classification
Index to Diseases and InjuriesGuidance
Alphabetical index entries that point to this code.
- Epilepsy, epileptic, epilepsia (attack) (cerebral) (convulsion) (fit) (seizure) - G40.909
- with status epilepticus - G40.A01
- with status epilepticus - G40.A01
- Pyknolepsy - G40.A09
- with status epilepticus - G40.A01
- Seizure (s) - See Also: Convulsions; - R56.9
- with status epilepticus - G40.A01
- Syndrome - See Also: Disease;
- epileptic - See Also: Epilepsy, by type;
- with status epilepticus - G40.A01
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Epilepsy, epileptic, epilepsia(attack) (cerebral) (convulsion) (fit) (seizure)
- childhood
- absence
- not intractable
- with status epilepticus
- Epilepsy, epileptic, epilepsia(attack) (cerebral) (convulsion) (fit) (seizure)
- juvenile absence
- not intractable
- with status epilepticus
- Pyknolepsy
- not intractable
- with status epilepticus
- Seizure(s)
- petit mal
- not intractable
- with status epilepticus
- Syndrome
- epileptic
- absence
- not intractable
- with status epilepticus
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.A01 to ICD-9-CMHistory
Code HistoryHistory
Questions About G40.A01Overview
Is G40.A01 (Absence epileptic syndrome, not intractable) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report absence epileptic syndrome, not intractable, with status epilepticus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does G40.A01 group to?
When absence epileptic syndrome, not 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.A01?
Under the General Equivalence Mappings, absence epileptic syndrome, not intractable, with status epilepticus converts to ICD-9-CM 345.00 (gen noncv ep w/o intr ep) and 345.2 (petit mal status). 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.
