G40.B09
BillableJuvenile myoclonic 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
Juvenile myoclonic epilepsy is a type of seizure disorder that typically begins in childhood or early teens, characterized by involuntary muscle jerks. This code indicates the condition is controlled with medication and the patient is not experiencing prolonged seizure activity.
Coding Tips
- •Verify documentation confirms juvenile myoclonic epilepsy diagnosis and that seizures are controlled (not intractable)
- •Confirm absence of status epilepticus (prolonged or repeated seizures) in the clinical record
Clinical Significance
Juvenile myoclonic epilepsy, controlled without status epilepticus, is one of the most common generalized epilepsy syndromes. JME typically presents in adolescence with morning myoclonic jerks and responds well to valproic acid or levetiracetam. However, JME is a lifelong condition with high relapse rates when medication is discontinued, requiring indefinite treatment in most patients.
Documentation Requirements
- ✓Confirmed JME diagnosis with characteristic clinical features
- ✓EEG showing generalized polyspike-and-wave discharges
- ✓Seizure control documentation (not intractable)
- ✓Absence of status epilepticus
- ✓Current antiepileptic medication and adherence
- ✓Discussion of lifelong treatment necessity
- ✓Trigger avoidance counseling (sleep deprivation, alcohol)
Commonly Confused Codes
Code Hierarchy
└G40Epilepsy and recurrent seizures└G40.BJuvenile myoclonic epilepsy [impulsive petit mal]└G40.B0Juvenile myoclonic epilepsy, not intractable└G40.B09Juvenile myoclonic epilepsy, not intractable, without status epilepticus
└G40.B09Juvenile myoclonic epilepsy, not intractable, without status epilepticus