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DISEASES OF THE NERVOUS SYSTEM (G40 G43.001) Note: the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled Excludes1: conversion disorder with seizures (F44.5) convulsions NOS (R56.9) post traumatic seizures (R56.1) seizure (convulsive) NOS (R56.9) seizure of newborn (P90) Excludes2: hippocampal sclerosis (G93.81) mesial temporal sclerosis (G93.81) temporal sclerosis (G93.81) G40.0-, G40.1-, G40.2-, G40.3-, Todds paralysis (G83.8) G40.A-, G40.B-, G40.91- Codes G40.0 Localization-related (focal) require a 6th character: (partial) idiopathic epilepsy 1 with status epilepticus 5th 9 without status epilepticus and epileptic syndromes with or NOS seizures of localized onset Benign childhood epilepsy with centrotemporal EEG spikes Childhood epilepsy with occipital EEG paroxysms Excludes1: adult onset localization-related epilepsy (G40.1-, G40.2-) G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures 6th of localized onset, not intractable (without intractability) G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of 6th localized onset, intractable G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures 5th Attacks without alteration of consciousness Epilepsia partialis continua [Kozhevnikof] Simple partial seizures developing into secondarily generalized seizures G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic sydromes with simple partial 6th seizures, not intractable (without intractability) G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial 6th seizures, intractable G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures 5th Attacks with alteration of consciousness, often with automatisms Complex partial seizures developing into secondarily generalized seizures G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex 6th partial seizures, not intractable (without intractability) G40.21 Localization-related G40.2-, G40.3-, G40.A-, G40.B-, (focal) (partial) 6th G40.91- Codes require a 6th symptomatic character: epilepsy and epileptic 1 with status epilepticus 9 without status epilepticus syndromes with or NOS complex partial seizures, intractable G40.3 Generalized idiopathic epilepsy and epileptic syndromes Code also MERRF syndrome, if applicable (E88.42) 5th G40.30 Generalized idiopathic epilepsy and epileptic syndromes, not intractable (without intractability) 6th (G00 G99) G43 MIGRAINE 4th Note: the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled Use additional code for adverse effect, if applicable, to identify drug (T36 T50 with fifth or sixth character 5) Excludes1: headache NOS (R51) lower half migraine (G44.00) Excludes2: headache syndromes (G44.-) G43.0 Migraine without aura Common migraine 5th Excludes1: chronic migraine without aura (G43.7-) G43.00 Migraine without aura, not intractable Migraine without aura without mention of refractory 6th migraine G43.001 Migraine without aura, not intractable, with status migrainosus =New Code =Revised Code Excludes1Not coded here, do not use together Excludes2Not included here 181 8/16/18 5:33 PM TABULAR LIST CHAPTER 6