G40.801
BillableOther epilepsy, not intractable, with 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 form of epilepsy that doesn't fit other specific categories and can be controlled with medication, currently experiencing a prolonged seizure state.
Coding Tips
- •Use this code when epilepsy doesn't meet criteria for other specific syndromes like Lennox-Gastaut
- •Status epilepticus is a life-threatening condition; document emergency treatment provided
Clinical Significance
Other epilepsy with status epilepticus is a catch-all for epilepsy types not classified elsewhere that present with a life-threatening prolonged seizure state. This code captures epilepsy presentations that do not fit into specific syndrome categories like Lennox-Gastaut or absence epilepsy. Status epilepticus requires emergency intervention and carries significant morbidity and mortality risk.
Documentation Requirements
- ✓Documentation of epilepsy type that does not fit other specific ICD-10 epilepsy categories
- ✓Active status epilepticus documented during the encounter
- ✓Statement that seizures are not intractable (medication-responsive)
- ✓Emergency treatments administered for status epilepticus
- ✓Seizure characteristics and clinical presentation
- ✓Rationale for why more specific epilepsy codes do not apply
Commonly Confused Codes
G40.802 — Same epilepsy type but WITHOUT status epilepticusG40.803 — Same type WITH status epilepticus but INTRACTABLEG40.401 — Other GENERALIZED epilepsy with status epilepticus; use when generalized type is documentedG40.901 — UNSPECIFIED epilepsy with status epilepticus; even less specificG40.811 — Lennox-Gastaut syndrome with status epilepticus; use when this specific syndrome is diagnosed
Code Hierarchy
└G40Epilepsy and recurrent seizures└G40.8Other epilepsy and recurrent seizures└G40.80Other epilepsy└G40.801Other epilepsy, not intractable, with status epilepticus
└G40.801Other epilepsy, not intractable, with status epilepticus