ICD-10 Coding for Seizure with Status Epilepticus(G40.101, G40.301)
Complete ICD-10-CM coding and documentation guide for Seizure 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 Seizure with Status Epilepticus
G40.0-G40.9Primary Range
Epilepsy and recurrent seizures
This range includes codes for different types of epilepsy and seizures, including those with status epilepticus.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G40.101 | Symptomatic focal epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus | Use when focal seizures are continuous and intractable, with EEG confirmation. |
|
| G40.301 | Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus | Use for generalized seizures that are intractable and continuous. |
|
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 seizure with status epilepticus
Essential facts and insights about Seizure with Status Epilepticus
Primary ICD-10-CM Codes for seizure with status epilepticus
Decision Criteria
clinical Criteria
- Documented failure of two or more AEDs
documentation Criteria
- EEG showing continuous seizure activity
Applicable To
- Epilepsia partialis continua
Excludes
- Generalized epilepsy and epileptic syndromes (G40.3)
Clinical Validation Requirements
- Continuous focal motor seizures lasting more than 5 minutes
- EEG showing persistent ictal activity
Code-Specific Risks
- Misclassification if intractability is not documented
- Incorrect use if EEG findings are absent
Coding Notes
- Ensure documentation specifies intractability and status duration.
G40.301 - Generalized idiopathic epilepsy and epileptic syndromes, intractable, with status epilepticus
Use for generalized seizures that are intractable and continuous.
Applicable To
- Generalized tonic-clonic status epilepticus
Excludes
- Focal epilepsy and epileptic syndromes (G40.1)
Clinical Validation Requirements
- Generalized tonic-clonic seizures lasting more than 5 minutes
- EEG showing generalized ictal activity
Coding Notes
Ensure documentation specifies intractability and status duration.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Post-traumatic seizures
R56.1Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Seizure with Status Epilepticus to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G40.101.
Impact
Clinical: May affect treatment decisions., Regulatory: Non-compliance with coding standards., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Always confirm and document intractability status., Use templates to ensure completeness.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Decreases accuracy of medical records.
Mitigation Strategy
Use specific epilepsy codes (G40.xxx) when epilepsy is diagnosed.
Impact
Failure to document seizure type and duration can lead to audit issues.
Mitigation Strategy
Use standardized templates and checklists.
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 Seizure with Status Epilepticus, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Seizure with Status Epilepticus
Use these documentation templates to ensure complete and accurate documentation for Seizure with Status Epilepticus. These templates include all required elements for proper coding and billing.
Intractable focal status epilepticus
Specialty: NeurologyRequired Elements
- Seizure type and duration
- Intractability status
- EEG findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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