G40.4 — Other generalized epilepsy and epileptic syndromes
Is G40.4 billable?
No — G40.4 is a non-billable header code. G40.4 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 5 billable codes beneath G40.4.
Billable codes under this header
- G40.42Cyclin-Dependent Kinase-Like 5 Deficiency Disorder
- G40.401Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticus
- G40.409Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticus
- G40.411Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticus
- G40.419Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticus
G40.4 at a glance
| Code | G40.4 |
|---|---|
| Description | Other generalized epilepsy and epileptic syndromes |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
How is G40.4 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to G40.4. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Myoclonus, myoclonic, myoclonia › epilepsy (familial) (essential) (multifocal) (simplex)
Inclusion terms
Alternative wording in documentation that is classified to G40.4.
- Epilepsy with grand mal seizures on awakening
- Epilepsy with myoclonic absences
- Epilepsy with myoclonic-astatic seizures
- Grand mal seizure NOS
- Nonspecific atonic epileptic seizures
- Nonspecific clonic epileptic seizures
- Nonspecific myoclonic epileptic seizures
- Nonspecific tonic epileptic seizures
- Nonspecific tonic-clonic epileptic seizures
- Symptomatic early myoclonic encephalopathy
Excludes1 — never code together — inherited from G40
The conditions below can never be reported together with G40.4 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here — inherited from Chapter 6
The conditions below are not part of G40.4, but a patient may have both at the same time. When documentation supports it, G40.4 and the excluded code may both be reported.
- 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)
Excludes2 — not included here — inherited from G40
The conditions below are not part of G40.4, but a patient may have both at the same time. When documentation supports it, G40.4 and the excluded code may both be reported.
What codes fall under G40.4? (3)
How long has G40.4 existed?
G40.4 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which conditions are coded to G40.4?
What other codes are in the G40 family? (10)
- G40.0Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onsetnot billable
- G40.1Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizuresnot billable
- G40.2Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizuresnot billable
- G40.3Generalized idiopathic epilepsy and epileptic syndromesnot billable
- G40.AAbsence epileptic syndromenot billable
- G40.BJuvenile myoclonic epilepsy [impulsive petit mal]not billable
- G40.CLafora progressive myoclonus epilepsynot billable
- G40.5Epileptic seizures related to external causesnot billable
- G40.8Other epilepsy and recurrent seizuresnot billable
- G40.9Epilepsy, unspecifiednot billable