G40.B01
BillableJuvenile myoclonic 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
Juvenile myoclonic epilepsy (sudden involuntary muscle jerks, typically in adolescents) that responds to medication, currently experiencing status epilepticus.
Coding Tips
- •Juvenile myoclonic epilepsy typically begins in adolescence with myoclonic jerks upon waking
- •Status epilepticus in this condition may involve repeated myoclonic jerks or generalized tonic-clonic seizures
Clinical Significance
Juvenile myoclonic epilepsy (JME) with status epilepticus is a serious complication of this common adolescent-onset generalized epilepsy. JME is characterized by myoclonic jerks upon awakening, generalized tonic-clonic seizures, and sometimes absence seizures. Status epilepticus may involve myoclonic status or generalized convulsive status, both requiring emergency management.
Documentation Requirements
- ✓Confirmed JME diagnosis based on clinical history and EEG findings
- ✓Documentation of active status epilepticus during the encounter
- ✓Seizure types present (myoclonic, tonic-clonic, absence)
- ✓Statement that condition responds to medication (not intractable)
- ✓Emergency interventions provided
- ✓Typical triggers (sleep deprivation, alcohol, photic stimulation)
Commonly Confused Codes
G40.B09 — JME, not intractable, WITHOUT status epilepticusG40.B11 — JME, INTRACTABLE, with status epilepticusG40.A01 — Absence epilepsy with status epilepticus; JME may include absences but is a distinct syndromeG40.C01 — Lafora progressive myoclonus epilepsy with status epilepticus; progressive and degenerative unlike JMEG40.401 — Other generalized epilepsy with status epilepticus; use when JME is not confirmed
Code Hierarchy
└G40Epilepsy and recurrent seizures└G40.BJuvenile myoclonic epilepsy [impulsive petit mal]└G40.B0Juvenile myoclonic epilepsy, not intractable└G40.B01Juvenile myoclonic epilepsy, not intractable, with status epilepticus
└G40.B01Juvenile myoclonic epilepsy, not intractable, with status epilepticus