G40.C — Lafora progressive myoclonus epilepsy
Is G40.C billable?
No — G40.C is a non-billable header code. G40.C 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 4 billable codes beneath G40.C.
Billable codes under this header
- G40.C01Lafora progressive myoclonus epilepsy, not intractable, with status epilepticus
- G40.C09Lafora progressive myoclonus epilepsy, not intractable, without status epilepticus
- G40.C11Lafora progressive myoclonus epilepsy, intractable, with status epilepticus
- G40.C19Lafora progressive myoclonus epilepsy, intractable, without status epilepticus
G40.C at a glance
| Code | G40.C |
|---|---|
| Description | Lafora progressive myoclonus epilepsy |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Code also
Two codes may be needed to describe the condition fully. Whether G40.C is sequenced first depends on the reason for the encounter.
- , if applicable, associated conditions such as dementia (F02.8-)
Inclusion terms
Alternative wording in documentation that is classified to G40.C.
- Lafora body disease
Excludes1 — never code together — inherited from G40
The conditions below can never be reported together with G40.C 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.C, but a patient may have both at the same time. When documentation supports it, G40.C 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.C, but a patient may have both at the same time. When documentation supports it, G40.C and the excluded code may both be reported.
What codes fall under G40.C? (2)
How long has G40.C existed?
G40.C first appears in FY2024.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
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
- G40.4Other generalized epilepsy and epileptic syndromesnot billable
- G40.5Epileptic seizures related to external causesnot billable
- G40.8Other epilepsy and recurrent seizuresnot billable
- G40.9Epilepsy, unspecifiednot billable