Complete ICD-10-CM coding and documentation guide for icd-10 coding for gabapentin includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Gabapentin
Use ICD-10 code G40.A01 for localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Other long term (current) drug therapy
Use when gabapentin is prescribed for more than 90 days.
Hypertensive chronic kidney disease with stage 5 chronic kidney disease or end stage renal disease
Use when CKD affects gabapentin dosing.
Gabapentin is not directly coded; instead, use codes for conditions it treats, like G40.A01 for epilepsy or G56.41 for neuropathic pain.
Document specific symptoms, treatment rationale, and patient response. Include diagnostic confirmations like EEG for epilepsy.