G40.919 — Epilepsy, unspecified, intractable, without status epilepticus
Is G40.919 billable?
Yes, but G40.919 is an unspecified code. G40.919 is a valid, billable ICD-10-CM code for encounters from October 1, 2026 through September 30, 2027. However, G40.919 is an unspecified or catch-all code. Payers apply additional scrutiny to unspecified codes and many deny them when the medical record supports a more specific option, so check the documentation before selecting G40.919 — the more specific alternatives are listed below.
More specific alternatives
G40.919 at a glance
| Code | G40.919 |
|---|---|
| Description | Epilepsy, unspecified, intractable, without status epilepticus |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does G40.919 group to?
G40.919 sits in MDC 01 and helps define the logic of 1 MS-DRG (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 023Craniotomy with Major Device Implant or Acute Complex CNS Principal Diagnosis with MCC or Antineoplastic Implant or Epilepsy with Neurostimulatorsurgical
As a secondary diagnosis, G40.919 is a complication or comorbidity (CC), which can move a stay into a higher-paying DRG.
How is G40.919 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to G40.919. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Epilepsy, epileptic, epilepsia › intractable (attack) (cerebral) (convulsion) (fit) (seizure)
- Seizure › intractable (s)
- Disorder › seizure › intractable (of)
- Epilepsy, epileptic, epilepsia › intractable › without status epilepticus (attack) (cerebral) (convulsion) (fit) (seizure)
Excludes1 — never code together — inherited from G40
The conditions below can never be reported together with G40.919 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 G40.919, but a patient may have both at the same time. When documentation supports it, G40.919 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 G40.919, but a patient may have both at the same time. When documentation supports it, G40.919 and the excluded code may both be reported.
How long has G40.919 existed?
G40.919 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.