ICD Code G40.911

ICD code G40.911 is epilepsy that is not specified as to type, is difficult to control (intractable), and is currently associated with a prolonged seizure episode (status epilepticus).

1. Recurrent unprovoked seizures have been documented.

2. The type of epilepsy cannot be further specified based on available clinical information.

3. Seizures are resistant to standard medical therapy (intractable).

4. The patient is currently experiencing or has experienced status epilepticus, defined as a seizure lasting more than five minutes or repeated seizures without full recovery of consciousness between episodes.

Relevant CPT codes that may be used to treat ICD code G40.911 include:

- 99221–99223 (Initial hospital care)

- 99231–99233 (Subsequent hospital care)

- 99291–99292 (Critical care services)

- 95816 (Electroencephalogram, awake and drowsy)

- 95819 (Electroencephalogram, awake and asleep)

- 95822 (Electroencephalogram, extended monitoring)

- 95951 (Monitoring for localization of cerebral seizure focus, with video)

- 96365–96368 (Intravenous infusion, for therapy/diagnosis)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 96374 (Therapeutic, prophylactic, or diagnostic injection, intravenous push)

- J2792 (Midazolam injection)

- J2001 (Midazolam hydrochloride injection)

- J3010 (Fentanyl citrate injection)

- J2270 (Morphine sulfate injection)

CPT code selection should be based on the specific services rendered and clinical documentation.

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