G40.4
Other generalized epilepsy and epileptic syndromes
Not billable — category only FY2026 2025-10-01 → 2026-09-30
Exclusions 17 never code together
G40code
Excludes1
G00-G99chapter
Excludes2
- certain conditions originating in the perinatal period (P04-P96)P04-P96
- certain infectious and parasitic diseases (A00-B99)A00-B99
- complications of pregnancy, childbirth and the puerperium (O00-O9A)O00-O9A
- congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)Q00-Q99
- endocrine, nutritional and metabolic diseases (E00-E88)E00-E88
- injury, poisoning and certain other consequences of external causes (S00-T88)S00-T88
- neoplasms (C00-D49)C00-D49
- symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)R00-R94
Excludes1 — never code together. The excluded condition and this one are mutually exclusive.
Excludes2 — not included here, but the patient may have both. Code both when documented.
Instructional notes 11
G40.4code
Inclusion terms
- 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
G40code
Notes
- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Index entries leading here 1
Alongside this code 10 same parent — G40
G40.0 Local-rel (focal) idio epilepsy w seizures of loc onset category G40.1 Local-rel (focal) symptc epilepsy w simple partial seizures category G40.2 Local-rel (focal) symptc epilepsy w complex partial seizures category G40.3 Generalized idiopathic epilepsy and epileptic syndromes category G40.A Absence epileptic syndrome category G40.B Juvenile myoclonic epilepsy [impulsive petit mal] category G40.C Lafora progressive myoclonus epilepsy category G40.5 Epileptic seizures related to external causes category G40.8 Other epilepsy and recurrent seizures category G40.9 Epilepsy, unspecified category
Subordinate codes 3
Medications 2
MED-RT files conditions by MeSH, which carves the world differently from ICD-10. These are name matches on this code's description, offered as candidates — not as an assertion that they are this code.
Additional references
AHA Coding Clinic® Licence required
Official coding advice for this code. Published by the American Hospital Association. Not included in this installation.