ICD-10 Coding for Epilepsy with Status Epilepticus(G40.311)
Complete ICD-10-CM coding and documentation guide for Epilepsy with Status Epilepticus. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Epilepsy with Status Epilepticus
G40-G41Primary Range
Epilepsy and recurrent seizures
This range includes all epilepsy types and status epilepticus codes.
Key Information: ICD-10 code for epilepsy with status epilepticus
Essential facts and insights about Epilepsy with Status Epilepticus
Primary ICD-10-CM Code for epilepsy with status epilepticus
Decision Criteria
clinical Criteria
- Patient presents with intractable generalized idiopathic epilepsy and status epilepticus confirmed by EEG.
Applicable To
- Intractable generalized idiopathic epilepsy with status epilepticus
Excludes
- Epilepsy without status epilepticus
Clinical Validation Requirements
- EEG confirmation of status epilepticus
- Documentation of intractability
Code-Specific Risks
- Incorrectly coding without EEG confirmation
Coding Notes
- Ensure documentation specifies intractability and status epilepticus.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Convulsive status epilepticus
G41.0Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Epilepsy with Status Epilepticus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G40.311.
Impact
Clinical: Inaccurate diagnosis and treatment, Regulatory: Non-compliance with coding standards, Financial: Potential claim denials
Mitigation Strategy
Ensure EEG is performed and results documented, Train staff on documentation standards
Impact
Reimbursement: Potential underpayment due to incorrect coding, Compliance: Non-compliance with ICD-10 guidelines, Data Quality: Poor data quality affecting patient records
Mitigation Strategy
Query provider to confirm intractability and use specific codes like G40.311.
Impact
Risk of audits due to incorrect epilepsy type coding
Mitigation Strategy
Regular training on epilepsy coding and documentation
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Epilepsy with Status Epilepticus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Epilepsy with Status Epilepticus
Use these documentation templates to ensure complete and accurate documentation for Epilepsy with Status Epilepticus. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Seizure type and duration
- Response to treatment
- EEG findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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