Breakthrough Seizure ICD-10-CM Codes

Table of content

What ICD-10 Codes Are Used for Breakthrough Seizures?Which Breakthrough Seizure ICD Codes Are Billable?Clinical Information Synonyms Include FAQS

Use Code

What ICD-10 Codes Are Used for Breakthrough Seizures?

In the complex world of medical coding, these are the most frequently used ICD codes for breakthrough seizures:

G40.901 - Epilepsy, unspecified, intractable without status epilepticus: This code is used for cases of epilepsy that are considered intractable (not adequately controlled by treatment) but without instances of prolonged seizures (status epilepticus).
G40.909 - Epilepsy, unspecified, not intractable without status epilepticus: This code applies to epilepsy cases that are not intractable and do not involve status epilepticus.
G40.311 - Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus: This code refers to generalized idiopathic epilepsy, which is difficult to control with treatment and involves status epilepticus.

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Which Breakthrough Seizure ICD Codes Are Billable?

Each of the aforementioned Breakthrough Seizure ICD codes is billable:

G40.901 - Yes, it's billable, as it denotes an unspecified, intractable form of epilepsy without status epilepticus.
G40.909 - Yes, it's billable, representing a non-intractable, unspecified form of epilepsy without status epilepticus.
G40.311 - Yes, it's billable, referring to generalized idiopathic epilepsy, intractable with status epilepticus.

Clinical Information

A breakthrough seizure is a seizure that happens even though a person is taking anti-seizure medication and usually has their seizures under control. More details include:

Breakthrough seizures are often linked to specific triggers, including missed medication doses, lack of sleep, stress, or specific foods or alcohol.
The nature of the breakthrough seizure is usually similar to the person's typical seizure type.
Management of breakthrough seizures often involves reviewing and potentially adjusting the person's anti-seizure medication regimen.
If breakthrough seizures occur frequently, it may indicate that the person's epilepsy is more difficult to manage.
Surgery or other treatments may sometimes be necessary if medication is not adequately controlling the seizures.

Synonyms Include:

Uncontrolled seizures
Intractable epilepsy
Refractory seizures
Breakthrough epilepsy
Unmanaged seizures

Commonly asked questions

Why might a breakthrough seizure occur?

A breakthrough seizure can occur for various reasons, including missing medication doses, lack of sleep, stress, illness, or exposure to certain trigger foods or substances.

Does a breakthrough seizure mean my medication is no longer effective?

Not necessarily. While frequent breakthrough seizures might indicate that your current treatment regimen is not as effective as it should be, a single breakthrough seizure doesn't necessarily mean your medication has stopped working.

How are breakthrough seizures treated?

The treatment of breakthrough seizures often involves adjusting the current medication regimen. However, the exact approach will depend on the individual's circumstances, including the frequency and severity of their seizures, overall health, and epilepsy.