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G40.4

G40.4: Other generalized epilepsy and epileptic syndromes

Non-billable headerICD-10-CM

G40.4 is a non-billable header ICD-10-CM code for other generalized epilepsy and epileptic syndromes. It cannot be billed on its own: choose one of the more specific child codes below.

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

  • 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

Excludes1 inherited from the categories above G40.4

A category’s note binds every code beneath it.

Written on G40: Epilepsy and recurrent seizures

  • 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 inherited from the categories above G40.4

Not part of this code, but both may be coded when both are present.

Written on G40: Epilepsy and recurrent seizures

Other codes that can never be billed with G40.4

Their own Excludes1 notes name this code, so the conflict is not listed above.

  • G25.3Myoclonus
  • R56Convulsions, not elsewhere classified
  • R56.1Post traumatic seizures

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Code history

Unchanged in every release from FY2024 to FY2027.

Code to one of these instead G40.4

3 child codes. Green means billable.

Other codes under G40

ICD-10-CMFY2027· effective October 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release: see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.