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Home/Diagnosis/ICD-10 Coding for Breakthrough Seizure

ICD-10 Coding for Breakthrough Seizure

G40.901
G40.909

Complete ICD-10-CM coding and documentation guide for icd-10 coding for breakthrough seizure includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Refractory Seizure
Pharmacoresistant Seizure
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Key Information: ICD-10 Coding for Breakthrough Seizure

Essential facts and insights about ICD-10 Coding for Breakthrough Seizure

Use ICD-10 code G40.901 for epilepsy, unspecified, intractable, without status epilepticus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Epilepsy, unspecified, intractable, without status epilepticus

Billable Code
G40.901
Billable

Diagnostic Criteria

clinical:
  • Patient has failed ≥2 AEDs at therapeutic doses.
documentation:
  • Documentation includes terms like 'pharmacoresistant' or 'refractory'.

Epilepsy, unspecified, not intractable, without status epilepticus

Billable Code
G40.909
Billable

Diagnostic Criteria

clinical:
  • No evidence of drug resistance
documentation:
  • Seizure occurred after a period of remission
Ancillary Codes

Additional codes that may be used with this diagnosis

Z91.14

Patient’s noncompliance with medication regimen

Use when breakthrough seizure is due to missed medication doses.

Frequently Asked Questions

What is the ICD-10 code for breakthrough seizure?

The ICD-10 code for breakthrough seizure is G40.901 for intractable cases and G40.909 for non-intractable cases.

When should G40.901 be used?

Use G40.901 for breakthrough seizures in patients with intractable epilepsy, confirmed by failure of ≥2 AEDs at therapeutic doses.

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