G40.209
BillableLocalization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus
HCC Category Mapping
V28HCC 201 — Seizure Disorders and Convulsions
0.262V24HCC 79 — Seizure Disorders and Convulsions
0.244ESRDHCC 79 — Seizure Disorders and Convulsions
0.000RxHCCHCC 164 — Seizure Disorders, Non-Intractable Epilepsy
0.000What This Code Means
A type of epilepsy caused by a known brain condition with complex partial seizures that responds to medication, without current prolonged seizure activity.
Coding Tips
- •The '20' indicates symptomatic with complex partial seizures; the final '9' indicates no status epilepticus
- •Verify that seizures are not intractable and document current seizure control status
Clinical Significance
This code represents the stable baseline state of symptomatic focal epilepsy with complex partial seizures — medication-controlled and not in status epilepticus. Complex partial seizures involve impaired consciousness, making them more functionally disabling than simple partial seizures. These patients require ongoing medication management and monitoring for seizure control.
Documentation Requirements
- ✓Documentation of symptomatic focal epilepsy with identified underlying cause
- ✓Complex partial seizure type documented (impaired awareness during seizures)
- ✓Current antiepileptic medication regimen and dosing
- ✓Seizure frequency and control status
- ✓Underlying etiology documented and coded separately
- ✓Confirmation that seizures are NOT intractable and patient is NOT in status epilepticus
Commonly Confused Codes
G40.109 — Symptomatic focal with SIMPLE partial seizures; consciousness preserved during seizuresG40.201 — Same type WITH status epilepticus; acute emergency presentationG40.219 — Same type, intractable; drug-resistant formG40.009 — IDIOPATHIC focal epilepsy; no identified causeG40.309 — Generalized idiopathic epilepsy; generalized rather than focal onset
Code Hierarchy
└G40Epilepsy and recurrent seizures└G40.2Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures└G40.20Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable└G40.209Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus
└G40.209Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus