ICD-10: G40.411. Short Description: Oth generalized epilepsy, intractable, w status epilepticus. Long Description: Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus. This is the 2019 version of the ICD-10-CM diagnosis code G40.411.
This is the American ICD-10-CM version of G40.309 - other international versions of ICD-10 G40.309 may differ. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.
Seizures do not get classified as epilepsy unless the seizures are recurrent. A version of this article was first published January 22, 2021, by HCPro's Revenue Cycle Advisor, a sibling publication to HealthLeaders.
Generalized idiopathic epilepsy and epileptic syndromes, not intractable, without status epilepticus. G40. 309 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM G40.
ICD-10 code G40. 89 for Other seizures is a medical classification as listed by WHO under the range - Diseases of the nervous system .
Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus. G40. 409 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
G40. 909 Epilepsy, unsp, not intractable, without status epilepticus - ICD-10-CM Diagnosis Codes.
3 Generalized idiopathic epilepsy and epileptic syndromes.
Basically, code 780.39 is for the single episode of a seizure. 780.33, Posttraumatic seizures. Recurrent seizure disorder NOS. There are two main categories of epilepsy: partial (also called local or focal) and generalized.
Generalized epilepsy is a form of epilepsy in which the seizures come from the entire brain at once. There is typically no warning.
Idiopathic generalized epilepsy (IGE) is a group of epileptic disorders that are believed to have a strong underlying genetic basis. Patients with an IGE subtype are typically otherwise normal and have no structural brain abnormalities.
9 became effective on October 1, 2021. This is the American ICD-10-CM version of R56. 9 - other international versions of ICD-10 R56.
A brain disorder characterized by episodes of abnormally increased neuronal discharge resulting in transient episodes of sensory or motor neurological dysfunction, or psychic dysfunction. These episodes may or may not be associated with loss of consciousness or convulsions.
What Is Intractable Epilepsy? Intractable epilepsy is when seizures can't be completely controlled by medicines. (Intractable means "not easily managed or relieved.") It's also called refractory, uncontrolled, or drug-resistant epilepsy.
A seizure that lasts longer than 5 minutes, or having more than 1 seizure within a 5 minutes period, without returning to a normal level of consciousness between episodes is called status epilepticus. This is a medical emergency that may lead to permanent brain damage or death.
What Is Intractable Epilepsy? Intractable epilepsy is when seizures can't be completely controlled by medicines. (Intractable means "not easily managed or relieved.") It's also called refractory, uncontrolled, or drug-resistant epilepsy.
Breakthrough seizures may result from forgotten prescriptions, under dosing, and use of recreation drugs. Other factors that have been proposed include watching television, playing video games, sleep deprivation, exertion and emotional stress [12, 13].
Status epilepticus (SE) is a medical emergency associated with significant morbidity and mortality. SE is defined as a continuous seizure lasting more than 30 min, or two or more seizures without full recovery of consciousness between any of them.
In epilepsy, the electrical signals in the brain become scrambled and there are sometimes sudden bursts of electrical activity. This is what causes seizures. In most cases, it's not clear why this happens.
Rationale: You are coding for both the approach and definitive procedures for the skull base surgery. In the CPT® Index look for Skull Base Surgery/Posterior Cranial Fossa/Transpetrosal Approach directing you to 61598 and Skull Base Surgery/Posterior Cranial Fossa/Intradural directing you to code 61616 which includes the repair. Modifier 51 is added to indicate the same surgeon performed more than one procedure.
Rationale: Look in the ICD-10-CM Alphabetic Index for Crisis/Addisonian directing you to E27.2. Verify code selection in the Tabular List.
Rationale: In the CPT® Index look for Biopsy/Spinal Cord/Percutaneous and you are directed to code 62269. Instructional note under code 62269 indicates for radiological supervision and interpretation, see 76942, 77002, and 77012. Ultrasound guidance for needle placement, 76942, can be separately billed. Modifier 26 is appended for the professional services. In the ICD-10-CM Alphabetic Index look for Syringomyelia directing you to code G95.0. Verification in the Tabular List confirms code selection.
Rationale: In the CPT® Index look for Thyroidectomy/Total/for Malignancy/Radical Neck Dissection directing you to 60254. A radical neck dissection includes removal of all lymph nodes. In the ICD-10-CM Table of Neoplasms look for Neoplasm, neoplastic/thyroid (gland) and select from the Malignant Primary column directing you to C73. Verification in the Tabular List confirms code selection.
Code selection is based on the number of interspaces and the location of spine. This is the lumbar spine and only one interspace is treated making 63030 the correct code.
Rationale: In the ICD-10-CM Alphabetic Index look for Pain (s)/chronic/due to trauma directing you to G89.21. Cervical pain is found by looking in the Alphabetic Index for Pain (s)/neck NEC directing you to M54.2. According to the ICD-10-CM guideline I.C.6.b.1.b.ii when the treatment is for pain management, the chronic pain is listed first.
Rationale: In the ICD-10-CM Alphabetic Index, look for Ataxia/telangiectasia directing you to code G11.3. Verification in the Tabular List confirms code selection.
G40.411 is a billable diagnosis code used to specify a medical diagnosis of other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus. The code G40.411 is valid during the fiscal year 2021 from October 01, 2020 through September 30, 2021 for the submission of HIPAA-covered transactions.#N#The ICD-10-CM code G40.411 might also be used to specify conditions or terms like generalized convulsive epilepsy, grand mal status, grand mal status epilepticus, refractory, nonconvulsive status epilepticus, petit mal status , petit mal status, refractory, etc.#N#The code G40.411 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.
Information for Patients. 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.
The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.
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.
A: The 2021 ICD-10-CM Alphabetic Index contains inclusion terms for code G40.4 (other generalized epilepsy and epileptic syndromes). “Grand mal seizure not otherwise specified” is included in the term epilepsy.
Clinically, epilepsy is diagnosed based on the occurrence of two or more seizures, and this patient reportedly has no history of seizure activity.