G40.4
Non-Billable

Other generalized epilepsy and epileptic syndromes

Non-Billable / Non-Specific Code

What is Other generalized epilepsy and epileptic syndromes?

ICD-10-CM G40.4 is the diagnosis code for Other generalized epilepsy and epileptic syndromes. This code falls under the section "Episodic and paroxysmal disorders" within Chapter 6 — Diseases of the nervous system (G00-G99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions

Coding Guidelines for G40.4

✅ This Code Includes

  • Epilepsy with grand mal seizures on awakening
  • Epilepsy with myoclonic absences
  • Epilepsy with myoclonic-astatic seizures
  • Grand mal seizure NOS
  • Nonspecific atonic epileptic seizures
  • Nonspecific clonic epileptic seizures
  • Nonspecific myoclonic epileptic seizures
  • Nonspecific tonic epileptic seizures
  • Nonspecific tonic-clonic epileptic seizures
  • Symptomatic early myoclonic encephalopathy

ICD-10-CM Code Hierarchy

Understanding where G40.4 sits in the ICD-10-CM classification helps ensure proper coding:

Current CodeG40.4 — Other generalized epilepsy and epileptic syndromes
Sub-Codes (3)
Sub-Codes 3 entries
G40.40Other generalized epilepsy and epileptic syndromes, not intractableNon-BillableG40.401Other generalized epilepsy and epileptic syndromes, not intractable, with status epilepticusBillableG40.409Other generalized epilepsy and epileptic syndromes, not intractable, without status epilepticusBillableG40.41Other generalized epilepsy and epileptic syndromes, intractableNon-BillableG40.411Other generalized epilepsy and epileptic syndromes, intractable, with status epilepticusBillableG40.419Other generalized epilepsy and epileptic syndromes, intractable, without status epilepticusBillableG40.42Cyclin-Dependent Kinase-Like 5 Deficiency DisorderBillable
Related Codes

Frequently Asked Questions

Is G40.4 a billable ICD-10-CM code?

No, G40.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does G40.4 mean?

G40.4 is the ICD-10-CM diagnosis code for "Other generalized epilepsy and epileptic syndromes". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of G40.4?

The parent code of G40.4 is G40 ("Epilepsy and recurrent seizures"). G40.4 provides a more specific classification within this category.

What section is G40.4 in?

G40.4 is located in Section G40-G47 — "Episodic and paroxysmal disorders" within Chapter 6 of the ICD-10-CM Tabular List.

What are the sub-codes of G40.4?

G40.4 has 3 sub-code(s) that provide more specific detail: G40.40, G40.41, G40.42.

When should I use G40.4?

Use G40.4 when the patients documented diagnosis matches "Other generalized epilepsy and epileptic syndromes" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Other generalized epilepsy and epileptic syndromes?

The ICD-10-CM code for Other generalized epilepsy and epileptic syndromes is G40.4.

Can G40.4 be used for primary diagnosis?

No, G40.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is G40.4 in?

G40.4 is in Chapter 6 of the ICD-10-CM Tabular List.

Is G40.4 valid for 2026?

Yes, G40.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousG40.319Generalized idiopathic epilepsy and epileptic syndromes, intractable, without status epilepticusNext →G40.40Other generalized epilepsy and epileptic syndromes, not intractable
Code Details
G40.4
Other generalized epilepsy and epileptic syndromes
Non-Billable / Non-Specific Code
6 — Diseases of the nervous system (G00-G99)
G40-G47 — Episodic and paroxysmal disorders
2026 ICD-10-CM