ICD Code R56-

ICD code R56- is used to identify convulsions, which are sudden, involuntary muscle contractions and can include seizures not classified elsewhere.

1. Sudden, transient episodes of abnormal electrical activity in the brain

2. Temporary loss of consciousness or awareness

3. Involuntary muscle movements or convulsions

4. No evidence of an underlying epilepsy diagnosis

5. No acute symptomatic cause identified (such as head trauma, infection, or metabolic disturbance)

6. Occurrence in individuals without a prior history of recurrent seizures

7. Symptoms not attributable to febrile seizures in children

8. Clinical evaluation and diagnostic testing (e.g., EEG, neuroimaging) do not reveal a chronic seizure disorder

Relevant CPT codes that may be used to treat ICD code R56- include:

- 99202–99215 (Evaluation and Management services, new or established patient)

- 95816 (Electroencephalogram [EEG]; including recording awake and drowsy)

- 95819 (EEG, including recording awake and asleep)

- 95812 (EEG, 41-60 minutes)

- 95813 (EEG, greater than 1 hour)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 96365 (Intravenous infusion, for therapy/diagnosis, initial, up to 1 hour)

- 96360 (Intravenous infusion, hydration; initial, 31 minutes to 1 hour)

- 96361 (Intravenous infusion, hydration; each additional hour)

- 96374 (Therapeutic, prophylactic, or diagnostic injection, intravenous push, single or initial substance/drug)

- 96375 (Each additional sequential intravenous push of a new substance/drug)

- 99281–99285 (Emergency Department services)

- 99468–99476 (Critical care services for neonates and pediatric patients)

These CPT codes are commonly associated with the management and treatment of conditions represented by ICD code R56-.

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