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G40.4
Non-billable

Other generalized epilepsy and epileptic syndromes

Chapter 6: Diseases of the nervous system

Inclusion Terms

10 items
  • Epilepsy with grand mal seizures on awakening
  • Epilepsy with myoclonic absences
  • Epilepsy with myoclonic-astatic seizures
  • Grand mal seizure NOS
  • Nonspecific atonic epileptic seizures
  • Nonspecific clonic epileptic seizures
  • Nonspecific myoclonic epileptic seizures
  • Nonspecific tonic epileptic seizures
  • Nonspecific tonic-clonic epileptic seizures
  • Symptomatic early myoclonic encephalopathy

Coding Guidance

G40.4 should not be used for reimbursement purposes as there are more specific codes below it that contain a greater level of detail. See Related Codes to drill down to more specific billable codes for appropriate reimbursement.

Referenced in Diagnoses

Conditions that use this ICD-10 code in their documentation

View documentation for tonic clonic epilepsy
tonic clonic epilepsy
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Generalized Tonic-Clonic Epilepsy

Additional Information from Parent Codes

The following information may apply to this code from its parent codes in the ICD-10 hierarchy. This information is important for proper coding and classification.

Excludes1

5 items

From G40:

  • conversion disorder with seizures (F44.5)
  • convulsions NOS (R56.9)
  • post traumatic seizures (R56.1)
  • seizure (convulsive) NOS (R56.9)
  • seizure of newborn (P90)

Excludes2

12 items

From G00-G99:

  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

From G40:

  • hippocampal sclerosis (G93.81)
  • mesial temporal sclerosis (G93.81)
  • temporal sclerosis (G93.81)
  • Todd's paralysis (G83.84)

Notes

1 item

From G40:

  • the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
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