| ICD-10 from 2011 - 2016 F44.5 is a billable ICD code used to specify a diagnosis of conversion disorder with seizures or convulsions. A 'billable code' is detailed enough to be used to specify a medical diagnosis. The ICD code F445 is used to code Psychogenic
Psychogenic pain is physical pain that is caused, increased, or prolonged by mental, emotional, or behavioral factors. Headache, back pain, or stomach pain are some of the most common types of psychogenic pain. It may occur, rarely, in persons with a mental disorder, but more commonly it accompanies or is induced by social rejection, broken heart, grief, lovesickness, or other such emotional e…
Other seizures. G40.89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM G40.89 became effective on October 1, 2018.
Short description: Epilepsy, unsp, not intractable, without status epilepticus The 2021 edition of ICD-10-CM G40.909 became effective on October 1, 2020. This is the American ICD-10-CM version of G40.909 - other international versions of ICD-10 G40.909 may differ.
Absence epileptic syndrome. G40.A should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail. The 2019 edition of ICD-10-CM G40.A became effective on October 1, 2018.
G40.89 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 G40.89 became effective on October 1, 2021. This is the American ICD-10-CM version of G40.89 - other international versions of ICD-10 G40.89 may differ. A type 1 excludes note is a pure excludes.
2022 ICD-10-CM Diagnosis Code R40. 4: Transient alteration of awareness.
ICD-10 code G40. 89 for Other seizures is a medical classification as listed by WHO under the range - Diseases of the nervous system .
ICD-10-CM Diagnostic Coding for Non-Epileptic Seizures. G40 Codes and R56.
When coding for PNES as a conversion disorder using ICD-10, the diagnosis must include the specifier “with attacks or seizures” (ICD-10 code F44. 5) to differentiate it from other conversion symptoms (eg, dysarthria, sensory loss), which are coded separately.
Pseudoseizure is an older term for events that appear to be epileptic seizures but, in fact, do not represent the manifestation of abnormal excessive synchronous cortical activity, which defines epileptic seizures. They are not a variation of epilepsy but are of psychiatric origin.
Some people experience symptoms similar to those of an epileptic seizure but without any unusual electrical activity in the brain. When this happens it is known as a non-epileptic seizure (NES). NES is most often caused by mental stress or a physical condition.
Per the recent Coding Clinic cited above, a diagnosis of pseudoseizure without mention of conversion disorder is coded to R56. 9, Unspecified convulsions.
Psychogenic nonepileptic seizures are episodes of movement, sensation, or behaviors that are similar to epileptic seizures but do not have a neurologic origin; rather, they are somatic manifestations of psychologic distress.
R56. 9, Unspecified convulsions (which includes seizures NOS).
PNES can mimic (appear outwardly like) seizures and for that reason PNES are commonly diagnosed and treated at epilepsy centers. The diagnosis is typically made using a combination of information, but PNES is most reliably determined by recording a typical PNES event with video EEG (electroencephalogram) monitoring.
Symptoms may include :suddenly becoming unresponsive.changes in consciousness.shaking movements.pelvic thrusting or bicycling movements.shaking the head from side to side.closing the eyes.closing or clenching the mouth.staring spells.
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].
A seizure is unusual electrical activity in the brain. These impulses often cause many symptoms, such as jerking of the body or losing consciousness. When the symptoms of the seizure are not noticeable it is known as a subclinical seizure.
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.