G40.802
BillableOther epilepsy, 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 form of epilepsy that doesn't fit other specific categories and can be controlled with medication, not currently in a prolonged seizure state.
Coding Tips
- •This is a catch-all code for epilepsy types not classified elsewhere
- •Ensure documentation clarifies why other specific epilepsy codes were not used
Clinical Significance
Other epilepsy, not intractable, without status epilepticus captures chronic epilepsy that does not fit specific syndrome categories and is managed with medication. This is a residual category for epilepsy types not classified elsewhere. These patients require ongoing neurological follow-up and medication management but are not in acute crisis.
Documentation Requirements
- ✓Documentation of epilepsy type that does not meet criteria for specific syndromes
- ✓Confirmation seizures respond to medication (not intractable)
- ✓Absence of status epilepticus at the encounter
- ✓Current antiepileptic drug regimen
- ✓Seizure frequency and characterization
- ✓Explanation of why more specific epilepsy codes are not applicable
Commonly Confused Codes
G40.801 — Same type but WITH status epilepticusG40.804 — Same type, INTRACTABLE, without status epilepticusG40.909 — UNSPECIFIED epilepsy; less specific than 'other epilepsy'G40.409 — Other GENERALIZED epilepsy; use when generalized seizure type is specifiedG40.89 — Other seizures; used for seizure types that may not constitute epilepsy
Code Hierarchy
└G40Epilepsy and recurrent seizures└G40.8Other epilepsy and recurrent seizures└G40.80Other epilepsy└G40.802Other epilepsy, not intractable, without status epilepticus
└G40.802Other epilepsy, not intractable, without status epilepticus