ICD-10 Coding for Non-Epileptic Seizure(F44.5, R56.9)
Complete ICD-10-CM coding and documentation guide for Non-Epileptic Seizure. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Non-Epileptic Seizure
F44.5Primary Range
Dissociative and conversion disorders
Primary code for psychogenic non-epileptic seizures, indicating a functional neurological disorder.
Unspecified convulsions
Used when seizure activity is documented but not specified as non-epileptic.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| F44.5 | Conversion disorder with seizures or convulsions | Use when non-epileptic seizures are confirmed by clinical evaluation and diagnostic testing. |
|
| R56.9 | Unspecified convulsions | Use when seizure activity is documented but not specified as non-epileptic or epileptic. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for non-epileptic seizures
Essential facts and insights about Non-Epileptic Seizure
Primary ICD-10-CM Codes for non epileptic seizure
Decision Criteria
clinical Criteria
- Normal EEG during seizure event
documentation Criteria
- Explicit mention of 'non-epileptic' or 'dissociative' seizures
Applicable To
- Psychogenic non-epileptic seizures
- Functional seizures
Excludes
- Epileptic seizures (G40.-)
Clinical Validation Requirements
- Video-EEG showing no epileptiform activity during events
- Psychiatric evaluation confirming psychological stressors
Code-Specific Risks
- Misclassification as epilepsy if documentation is unclear
Coding Notes
- Ensure documentation specifies non-epileptic nature to avoid misclassification.
R56.9 - Unspecified convulsions
Use when seizure activity is documented but not specified as non-epileptic or epileptic.
Excludes
- Epileptic seizures (G40.-)
- Psychogenic non-epileptic seizures (F44.5)
Clinical Validation Requirements
- Seizure activity without specific diagnosis
Coding Notes
Use as a temporary code until further diagnostic clarification.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Unspecified convulsions
R56.9Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Non-Epileptic Seizure to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code F44.5.
Impact
Clinical: Misleading treatment plans based on incorrect diagnosis., Regulatory: Non-compliance with coding standards., Financial: Incorrect billing and potential revenue loss.
Mitigation Strategy
Verify EEG results before coding, Educate staff on differences between epileptic and non-epileptic seizures
Impact
Reimbursement: Incorrect DRG assignment leading to potential overpayment., Compliance: Risk of audit and penalties for misclassification., Data Quality: Inaccurate clinical data affecting patient management.
Mitigation Strategy
Ensure EEG and clinical documentation confirm non-epileptic nature before coding.
Impact
Incorrectly coding non-epileptic seizures as epilepsy.
Mitigation Strategy
Implement regular training on seizure classification and coding.
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 Non-Epileptic Seizure, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Non-Epileptic Seizure
Use these documentation templates to ensure complete and accurate documentation for Non-Epileptic Seizure. These templates include all required elements for proper coding and billing.
Non-epileptic seizure diagnosis
Specialty: NeurologyRequired Elements
- Patient history
- EEG results
- Psychiatric evaluation
- Triggers and stressors
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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