2017/18 ICD-10-CM Diagnosis Code G40.5

Epileptic seizures related to external causes

Applicable To
  • Epileptic seizures related to alcohol
  • Epileptic seizures related to drugs
  • Epileptic seizures related to hormonal changes
  • Epileptic seizures related to sleep deprivation
  • Epileptic seizures related to stress
Use Additional
Use Additional Help
Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Wherever such a combination exists there is a "use additional code" note at the etiology code, and a "code first" note at the manifestation code. These instructional notes indicate the proper sequencing order of the codes, etiology followed by manifestation. In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere." Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code. "In diseases classified elsewhere" codes are never permitted to be used as first listed or principle diagnosis codes. They must be used in conjunction with an underlying condition code and they must be listed following the underlying condition.
  • code for adverse effect, if applicable, to identify drug (T36-T50
    ICD-10-CM Range T36-T50

    Poisoning by, adverse effect of and underdosing of drugs, medicaments and biological substances

    Code First
    • , for adverse effects, the nature of the adverse effect, such as:
    • adverse effect NOS (T88.7 )
    • aspirin gastritis (K29.-)
    • blood disorders (D56-D76 )
    • contact dermatitis (L23-L25 )
    • dermatitis due to substances taken internally (L27.-)
    • nephropathy (N14.0-N14.2)
    Includes
    • adverse effect of correct substance properly administered
    • poisoning by overdose of substance
    • poisoning by wrong substance given or taken in error
    • underdosing by (inadvertently) (deliberately) taking less substance than prescribed or instructed
    Note
    • The drug giving rise to the adverse effect should be identified by use of codes from categories T36-T50 with fifth or sixth character 5.
    Type 1 Excludes
    • toxic reaction to local anesthesia in pregnancy (O29.3-)
    Type 2 Excludes
    • abuse and dependence of psychoactive substances (F10-F19)
    • abuse of non-dependence-producing substances (F55.-)
    • drug reaction and poisoning affecting newborn (P00-P96)
    • pathological drug intoxication (inebriation) (F10-F19)
    Use Additional
    • code(s) to specify:
    • manifestations of poisoning
    • underdosing or failure in dosage during medical and surgical care (Y63.6, Y63.8-Y63.9)
    • underdosing of medication regimen (Z91.12-, Z91.13-)
    • T36 Poisoning by, adverse effect of and unde...
    • T37 Poisoning by, adverse effect of and unde...
    • T38 Poisoning by, adverse effect of and unde...
    • T39 Poisoning by, adverse effect of and unde...
    • T40 Poisoning by, adverse effect of and unde...
    • T41 Poisoning by, adverse effect of and unde...
    • T42 Poisoning by, adverse effect of and unde...
    • T43 Poisoning by, adverse effect of and unde...
    • T44 Poisoning by, adverse effect of and unde...
    • T45 Poisoning by, adverse effect of and unde...
    • T46 Poisoning by, adverse effect of and unde...
    • T47 Poisoning by, adverse effect of and unde...
    • T48 Poisoning by, adverse effect of and unde...
    • T49 Poisoning by, adverse effect of and unde...
    • T50 Poisoning by, adverse effect of and unde...
    with fifth or sixth character 5)
Code Also
Code Also Help
A code also note instructs that 2 codes may be required to fully describe a condition but the sequencing of the two codes is discretionary, depending on the severity of the conditions and the reason for the encounter.
  • , if applicable, associated epilepsy and recurrent seizures (
    ICD-10-CM Diagnosis Code G40
    • G40 Epilepsy and recurrent seizures
      • G40.0 Localization-related (focal) (partial) idiopa...
        • G40.00 Localization-related (focal) (partial) idiopa...
          • G40.001 Localization-related (focal) (partial) idiopa...
          • G40.009 Localization-related (focal) (partial) idiopa...
        • G40.01 Localization-related (focal) (partial) idiopa...
          • G40.011 Localization-related (focal) (partial) idiopa...
          • G40.019 Localization-related (focal) (partial) idiopa...
      • G40.1 Localization-related (focal) (partial) sympto...
        • G40.10 Localization-related (focal) (partial) sympto...
          • G40.101 Localization-related (focal) (partial) sympto...
          • G40.109 Localization-related (focal) (partial) sympto...
        • G40.11 Localization-related (focal) (partial) sympto...
          • G40.111 Localization-related (focal) (partial) sympto...
          • G40.119 Localization-related (focal) (partial) sympto...
      • G40.2 Localization-related (focal) (partial) sympto...
        • G40.20 Localization-related (focal) (partial) sympto...
          • G40.201 Localization-related (focal) (partial) sympto...
          • G40.209 Localization-related (focal) (partial) sympto...
        • G40.21 Localization-related (focal) (partial) sympto...
          • G40.211 Localization-related (focal) (partial) sympto...
          • G40.219 Localization-related (focal) (partial) sympto...
      • G40.3 Generalized idiopathic epilepsy and epileptic...
        • G40.30 Generalized idiopathic epilepsy and epileptic...
          • G40.301 Generalized idiopathic epilepsy and epileptic...
          • G40.309 Generalized idiopathic epilepsy and epileptic...
        • G40.31 Generalized idiopathic epilepsy and epileptic...
          • G40.311 Generalized idiopathic epilepsy and epileptic...
          • G40.319 Generalized idiopathic epilepsy and epileptic...
      • G40.A Absence epileptic syndrome
        • G40.A0 Absence epileptic syndrome, not intractable
          • G40.A01 Absence epileptic syndrome, not intractable, ...
          • G40.A09 Absence epileptic syndrome, not intractable, ...
        • G40.A1 Absence epileptic syndrome, intractable
          • G40.A11 Absence epileptic syndrome, intractable, with...
          • G40.A19 Absence epileptic syndrome, intractable, with...
      • G40.B Juvenile myoclonic epilepsy [impulsive petit ...
        • G40.B0 Juvenile myoclonic epilepsy, not intractable
          • G40.B01 Juvenile myoclonic epilepsy, not intractable,...
          • G40.B09 Juvenile myoclonic epilepsy, not intractable,...
        • G40.B1 Juvenile myoclonic epilepsy, intractable
          • G40.B11 Juvenile myoclonic epilepsy, intractable, wit...
          • G40.B19 Juvenile myoclonic epilepsy, intractable, wit...
      • G40.4 Other generalized epilepsy and epileptic synd...
        • G40.40 Other generalized epilepsy and epileptic synd...
          • G40.401 Other generalized epilepsy and epileptic synd...
          • G40.409 Other generalized epilepsy and epileptic synd...
        • G40.41 Other generalized epilepsy and epileptic synd...
          • G40.411 Other generalized epilepsy and epileptic synd...
          • G40.419 Other generalized epilepsy and epileptic synd...
      • G40.5 Epileptic seizures related to external causes...
        • G40.50 Epileptic seizures related to external causes...
          • G40.501 Epileptic seizures related to external causes...
          • G40.509 Epileptic seizures related to external causes...
      • G40.8 Other epilepsy and recurrent seizures
        • G40.80 Other epilepsy
          • G40.801 Other epilepsy, not intractable, with status ...
          • G40.802 Other epilepsy, not intractable, without stat...
          • G40.803 Other epilepsy, intractable, with status epil...
          • G40.804 Other epilepsy, intractable, without status e...
        • G40.81 Lennox-Gastaut syndrome
          • G40.811 Lennox-Gastaut syndrome, not intractable, wit...
          • G40.812 Lennox-Gastaut syndrome, not intractable, wit...
          • G40.813 Lennox-Gastaut syndrome, intractable, with st...
          • G40.814 Lennox-Gastaut syndrome, intractable, without...
        • G40.82 Epileptic spasms
          • G40.821 Epileptic spasms, not intractable, with statu...
          • G40.822 Epileptic spasms, not intractable, without st...
          • G40.823 Epileptic spasms, intractable, with status ep...
          • G40.824 Epileptic spasms, intractable, without status...
        • G40.89 Other seizures
      • G40.9 Epilepsy, unspecified
        • G40.90 Epilepsy, unspecified, not intractable
          • G40.901 Epilepsy, unspecified, not intractable, with ...
          • G40.909 Epilepsy, unspecified, not intractable, witho...
        • G40.91 Epilepsy, unspecified, intractable
          • G40.911 Epilepsy, unspecified, intractable, with stat...
          • G40.919 Epilepsy, unspecified, intractable, without s...
    G40.-
    )
The following code(s) above G40.5 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to G40.5:
  • G00-G99
    2018 ICD-10-CM Range G00-G99

    Diseases of the nervous system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the nervous system
  • G40
    ICD-10-CM Diagnosis Code G40

    Epilepsy and recurrent seizures

      2016 2017 2018 Non-Billable/Non-Specific Code
    Note
    • the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
    Type 1 Excludes
    • conversion disorder with seizures (F44.5)
    • convulsions NOS (R56.9)
    • post traumatic seizures (R56.1)
    • seizure (convulsive) NOS (R56.9)
    • seizure of newborn (P90)
    Type 2 Excludes
    Epilepsy and recurrent seizures
Code History
ICD-10-CM Codes Adjacent To G40.5
G40.B1 Juvenile myoclonic epilepsy, intractable
G40.B11 …… with status epilepticus
G40.B19 …… without status epilepticus
G40.4 Other generalized epilepsy and epileptic syndromes
G40.40 Other generalized epilepsy and epileptic syndromes, not intractable
G40.401 …… with status epilepticus
G40.409 …… without status epilepticus
G40.41 Other generalized epilepsy and epileptic syndromes, intractable
G40.411 …… with status epilepticus
G40.419 …… without status epilepticus
G40.5 Epileptic seizures related to external causes
G40.50 Epileptic seizures related to external causes, not intractable
G40.501 …… with status epilepticus
G40.509 …… without status epilepticus
G40.8 Other epilepsy and recurrent seizures
G40.80 Other epilepsy
G40.801 …… not intractable, with status epilepticus
G40.802 …… not intractable, without status epilepticus
G40.803 …… intractable, with status epilepticus
G40.804 …… intractable, without status epilepticus
G40.81 Lennox-Gastaut syndrome

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