Neurosurgery Coding Alert
Use G40.5- for These Epileptic Seizure Patients
Question: Encounter notes indicate that a patient suffered from “epileptic seizures, alcohol-related.” Is there a specific ICD-10 code for this condition, or should I choose a generic epilepsy diagnosis code? Nebraska Subscriber Answer: You should report alcohol-related epilepsy with G40.5- (Epileptic seizures related to external causes). Per ICD-10, you should also use G40.5- for these epilepsy types: Don’t stop there: Alcohol-related epileptic seizure diagnoses always carry a 5th character of “0” to indicate that the seizures are not intractable (according to ICD-10, all G40.5- seizures are not intractable). Then, you’ll need to choose a 6th character based on the presence or absence of status epilepticus. If you code to the highest point of specificity for alcohol-related epilepsy, you’ll choose from one of the following ICD-10 codes: More ICD-10 possibilities: When reporting G40.5-, ICD-10 instructs coders to:
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