Epilepsy ICD-10-CM Codes

What ICD-10 Codes are Used for Epilepsy?

Epilepsy is a neurological condition characterized by recurrent seizures. Accurate and precise coding using the ICD-10-CM is critical for diagnosis, treatment planning, and billing. This guide aims to help healthcare providers understand the ICD-10-CM codes commonly used for epilepsy.

Here are some commonly used ICD-10-CM codes for epilepsy:

G40.801: Other epilepsy, intractable

This code is used when epilepsy is not adequately controlled despite medical intervention.

G40.802: Other epilepsy, not intractable

This code is used for cases of epilepsy that are controllable with medication.

G40.909: Epilepsy, unspecified, not intractable

This code is used for unspecified cases of epilepsy that are not intractable.

G40.211: Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable

This code is used for cases of focal epilepsy that are intractable.

G40.A01: Absence epileptic syndrome, not intractable, with status epilepticus

This code is used for cases of absence seizures with status epilepticus that are not intractable.

Which Epilepsy ICD Codes are Billable:

• G40.801: Yes
• G40.802: Yes
• G40.909: Yes
• G40.211: Yes
• G40.A01: Yes

Clinical Information

• Epilepsy can be caused by various factors such as genetic predisposition, brain injury, or an underlying neurological condition.
• Seizures can manifest in different forms, from absence seizures to complex partial seizures.
• Diagnosis typically involves electroencephalogram (EEG) tests, MRI scans, and a comprehensive medical history.
• Treatment usually involves anti-seizure medications, and in some cases, surgical intervention may be considered.
• Early diagnosis and treatment are essential for effective management of the condition.

Synonyms Include: 

• Seizure Disorder
• Epileptic Seizures
• Partial Seizures
• Generalized Epilepsy
• Complex Epilepsy