2020 ICD-10-CM Diagnosis Code G40.011

Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus

    2016 2017 2018 2019 2020 Billable/Specific Code
  • G40.011 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • Short description: Local-rel idio epi w seiz of loc onset, ntrct, w stat epi
  • The 2020 edition of ICD-10-CM G40.011 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of G40.011 - other international versions of ICD-10 G40.011 may differ.
The following code(s) above G40.011 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 G40.011:
  • G00-G99
    2020 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 2019 2020 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
  • G40.0
    ICD-10-CM Diagnosis Code G40.0

    Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Benign childhood epilepsy with centrotemporal EEG spikes
    • Childhood epilepsy with occipital EEG paroxysms
    Type 1 Excludes
    Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset
Approximate Synonyms
  • Epilepsy, partial idiopathic
  • Intractable partial status epilepticus
ICD-10-CM G40.011 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 023 Craniotomy with major device implant or acute complex cns pdx with mcc or chemotherapy implant or epilepsy with neurostimulator
  • 100 Seizures with mcc
  • 101 Seizures without mcc

Convert G40.011 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to G40.011:
  • Epilepsy, epileptic, epilepsia (attack) (cerebral) (convulsion) (fit) (seizure) G40.909
    ICD-10-CM Diagnosis Code G40.909

    Epilepsy, unspecified, not intractable, without status epilepticus

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Epilepsy NOS
    • Epileptic convulsions NOS
    • Epileptic fits NOS
    • Epileptic seizures NOS
    • Recurrent seizures NOS
    • Seizure disorder NOS
    • localization-related (focal) (partial)
      • idiopathic G40.009
        ICD-10-CM Diagnosis Code G40.009

        Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus

          2016 2017 2018 2019 2020 Billable/Specific Code
        Applicable To
        • Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset NOS
        • with seizures of localized onset G40.009
          ICD-10-CM Diagnosis Code G40.009

          Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus

            2016 2017 2018 2019 2020 Billable/Specific Code
          Applicable To
          • Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset NOS
          • intractable G40.019
            ICD-10-CM Diagnosis Code G40.019

            Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus

              2016 2017 2018 2019 2020 Billable/Specific Code
            • with status epilepticus G40.011
    • syndromes
      • localization-related (focal) (partial)
        • idiopathic G40.009
          ICD-10-CM Diagnosis Code G40.009

          Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus

            2016 2017 2018 2019 2020 Billable/Specific Code
          Applicable To
          • Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset NOS
          • with seizures of localized onset G40.009
            ICD-10-CM Diagnosis Code G40.009

            Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus

              2016 2017 2018 2019 2020 Billable/Specific Code
            Applicable To
            • Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset NOS
            • intractable G40.019
              ICD-10-CM Diagnosis Code G40.019

              Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus

                2016 2017 2018 2019 2020 Billable/Specific Code
              • with status epilepticus G40.011

ICD-10-CM Codes Adjacent To G40.011
G37.4 Subacute necrotizing myelitis of central nervous system
G37.5 Concentric sclerosis [Balo] of central nervous system
G37.8 Other specified demyelinating diseases of central nervous system
G37.9 Demyelinating disease of central nervous system, unspecified
G40 Epilepsy and recurrent seizures
G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset
G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable
G40.001 …… with status epilepticus
G40.009 …… without status epilepticus
G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable
G40.011 …… with status epilepticus
G40.019 …… without status epilepticus
G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures
G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable
G40.101 …… with status epilepticus
G40.109 …… without status epilepticus
G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable
G40.111 …… with status epilepticus
G40.119 …… without status epilepticus
G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.