Non-Billable / Non-Specific Code
ICD-10-CM G40.1 is the diagnosis code for Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures. 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.
Understanding where G40.1 sits in the ICD-10-CM classification helps ensure proper coding:
No, G40.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.
G40.1 is the ICD-10-CM diagnosis code for "Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of G40.1 is G40 ("Epilepsy and recurrent seizures"). G40.1 provides a more specific classification within this category.
G40.1 is located in Section G40-G47 — "Episodic and paroxysmal disorders" within Chapter 6 of the ICD-10-CM Tabular List.
G40.1 has 2 sub-code(s) that provide more specific detail: G40.10, G40.11.
Use G40.1 when the patients documented diagnosis matches "Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures is G40.1.
No, G40.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.
G40.1 is in Chapter 6 of the ICD-10-CM Tabular List.
Yes, G40.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.