G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable

Non-billable header with 2 child codes.

Applies from G40 Epilepsy and recurrent seizures

Excludes1 (never code together)

• conversion disorder with seizures (F44.5)
• convulsions NOS (R56.9)
• post traumatic seizures (R56.1)
• seizure (convulsive) NOS (R56.9)
• seizure of newborn (P90)

Excludes2 (not included here)

• hippocampal sclerosis (G93.81)
• mesial temporal sclerosis (G93.81)
• temporal sclerosis (G93.81)
• Todd's paralysis (G83.84)

Notes

• the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled

Applies from G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures

Applicable to

• Attacks with alteration of consciousness, often with automatisms
• Complex partial seizures developing into secondarily generalized seizures

Codes under G40.21

• G40.211 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
• G40.219 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus

Code annotations containing back-references to G40.21

Back-references to G40.2

• Type 1 Excludes: G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset ("adult onset localization-related epilepsy (G40.1-, G40.2-)")

Back-references to G40

• Code Also: E20.810 Autosomal dominant hypocalcemia ("seizure disorder (G40.-, R56.9)")
• Code First: F02 Dementia in other diseases classified elsewhere ("epilepsy and recurrent seizures (G40.-)")
• Type 2 Excludes: F44.0 Dissociative amnesia ("postictal amnesia in epilepsy (G40.-)")
• Type 2 Excludes: F44.1 Dissociative fugue ("postictal fugue in epilepsy (G40.-)")
• Code Also: F78.A1 SYNGAP1-related intellectual disability ("epilepsy and recurrent seizures (G40.-)")
• Code Also: G04.8 Other encephalitis, myelitis and encephalomyelitis ("any associated seizure (G40.-, R56.9)")
• Type 1 Excludes: G25.3 Myoclonus ("myoclonic epilepsy (G40.-)")
• Code Also: G40.5 Epileptic seizures related to external causes (", if applicable, associated epilepsy and recurrent seizures (G40.-)")
• Code Also: G43.1 Migraine with aura ("any associated seizure (G40.-, R56.9)")
• Code Also: G93.45 Developmental and epileptic encephalopathy ("epilepsy, by specific type (G40.-)")
• Code Also: I67.850 Cerebral autosomal dominant arteriopathy with subcortical infarcts and leukoencephalopathy ("epilepsy (G40.-)")
• Code Also: Q87.85 MED13L syndrome ("epilepsy and recurrent seizures (G40.-)")
• Use Additional: Q87.87 Hao-Fountain Syndrome ("epilepsy, by specific type (G40.-)")
• Use Additional: Q93.52 Phelan-McDermid syndrome ("epilepsy and recurrent seizures (G40.-)")
• Code Also: QA0 Neurodevelopmental disorders related to specific genetic pathogenic variants ("epilepsy, by specific type (G40.-)")
• Type 1 Excludes: R56 Convulsions, not elsewhere classified ("epileptic convulsions and seizures (G40.-)")
• Type 1 Excludes: R56.1 Post traumatic seizures ("post traumatic epilepsy (G40.-)")
• Code Also: Z15.1 Genetic susceptibility to epilepsy and neurodevelopmental disorders ("epilepsy, by specific type (G40.-)")

Nearby codes

• G40.119 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus
• G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
• G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable
• G40.201 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus
• G40.209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus
• G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable (this code)
• G40.211 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, with status epilepticus
• G40.219 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticus
• G40.3 Generalized idiopathic epilepsy and epileptic syndromes
• G40.30 Generalized idiopathic epilepsy and epileptic syndromes, not intractable
• G40.301 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, with status epilepticus