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G40 ICD-10-CM Code: Epilepsy and recurrent seizures

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FY 2026 Apr update / Diseases of the nervous system (G00-G99) / Episodic and paroxysmal disorders (G40-G47)

G40

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Epilepsy and recurrent seizures

Epilepsy and recurrent seizures

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
G4Episodic and paroxysmal disorders (G40-G47)
G40Epilepsy and recurrent seizures

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for G40 in this effective period.

Excludes 2

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

Related Child Codes

Official
G40.0Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset
G40.1Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures
G40.2Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
G40.3Generalized idiopathic epilepsy and epileptic syndromes
G40.4Other generalized epilepsy and epileptic syndromes

Includes

Official

ICD-10-CM does not list Includes notes for G40 in this effective period.

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for G40 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for G40 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for G40 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

What This Code Means

G40 is the ICD-10-CM diagnosis code for epilepsy and recurrent seizures. G40 sits in the ICD-10-CM chapter for diseases of the nervous system (g00-g99), within the section covering episodic and paroxysmal disorders (g40-g47).

Header codes like G40 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at G40's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for G40 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Excludes 1, Do NOT code together

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

Excludes 2, Not included here, may code separately

Child Codes

Code Hierarchy

G40Epilepsy and recurrent seizures
G40Epilepsy and recurrent seizures

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