A84 Tick-borne viral encephalitis . In this context, annotation back-references refer to codes that contain: Code annotations containing back-references to, Short description: Postimmun ac dissem encphlts, myelitis and encephalomyelitis, This is the American ICD-10-CM version of, certain conditions originating in the perinatal period (, certain infectious and parasitic diseases (, complications of pregnancy, childbirth and the puerperium (, congenital malformations, deformations, and chromosomal abnormalities (, endocrine, nutritional and metabolic diseases (, injury, poisoning and certain other consequences of external causes (, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (, acute necrotizing hemorrhagic encephalopathy (, other noninfectious acute disseminated encephalomyelitis (noninfectious ADEM) (, Myelitis following immunization procedures, Noninfectious acute disseminated encephalomyelitis (noninfectious ADEM). We used a ninth category for cases that could not be categorized because of contradictory encephalitis-related ICD codes attributed to a single case. Outsource Strategies International is one of the leading medical billing and coding companies in the medical outsourcing space focused on all aspects of revenue cycle management. April 14, 2022. WebThe current iteration, ICD-11 still codes CFS at G93.3 [49] Likewise, the US CDC's National Center for Health Statistics (NCHS) categorizes CFS as a neurological disease (at G93.32 [50]) in the current ICD 10-Clinical Modification ( ICD-10-CM ), the official insurance codes and medical taxonomy of the United States. Also known as myalgic encephalomyelitis. Chronic fatigue syndrome (cfs) is a clinical diagnosis characterized by an unexplained persistent or relapsing chronic fatigue that is of at least six months' duration, is not the result of ongoing exertion, is not substantially alleviated by rest, and results in substantial reduction of previous levels of occupational, educational, social, or personal activities. Sometimes there is no known cause. Viral encephalitis and meningitis. Thomas AR. Accessed April 5, 2022. One of the major signs of encephalitis in infants is bulging of the soft spots (fontanels) of the baby's skull. If you are a Mayo Clinic patient, this could Allscripts EPSi. Subscribe to Codify by AAPC and get the code details in a flash. Request a Demo 14 Day Free Trial Buy Now Official Long Descriptor Encephalitis and encephalomyelitis, Encephalitis, acute viral. 1 indication for 5 drugs (2 approved, 3 experimental) Diseases [C] Nervous System Diseases [C10] Neuroinflammatory Diseases Encephalitis In this context, annotation back-references refer to codes that contain: This is the American ICD-10-CM version of, certain conditions originating in the perinatal period (, certain infectious and parasitic diseases (, complications of pregnancy, childbirth and the puerperium (, congenital malformations, deformations, and chromosomal abnormalities (, endocrine, nutritional and metabolic diseases (, injury, poisoning and certain other consequences of external causes (, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (. WebPostinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) G0431: Postinfectious acute necrotizing hemorrhagic encephalopathy: G0481: Meningitis and encephalitis fact sheet. A syndrome of unknown etiology. (from Adams et al., Principles of Neurology, 6th ed, pp751-4), congenital toxoplasmosis encephalitis, myelitis and encephalomyelitis (, cytomegaloviral encephalitis, myelitis and encephalomyelitis (, encephalitis, myelitis and encephalomyelitis (in) systemic lupus erythematosus (, human immunodeficiency virus [HIV] disease (, adenoviral encephalitis, myelitis and encephalomyelitis (, encephalitis, myelitis and encephalomyelitis (in) measles (, enteroviral encephalitis, myelitis and encephalomyelitis (, herpesviral [herpes simplex] encephalitis, myelitis and encephalomyelitis (, listerial encephalitis, myelitis and encephalomyelitis (, meningococcal encephalitis, myelitis and encephalomyelitis (, mumps encephalitis, myelitis and encephalomyelitis (, postchickenpox encephalitis, myelitis and encephalomyelitis (, rubella encephalitis, myelitis and encephalomyelitis (, toxoplasmosis encephalitis, myelitis and encephalomyelitis (, zoster encephalitis, myelitis and encephalomyelitis (, encephalitis due to herpesvirus [herpes simplex] (, encephalitis due to poliomyelitis virus (. Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes. Neurology medical billing companies can help specialists providing treatments for such disorders to submit error-free claims. Factors that may increase the risk include: The complications of encephalitis vary, depending on factors such as: People with relatively mild illness usually recover within a few weeks with no long-term complications. Long-term sequelae of West Nile virus-related illness: A systematic review. A84.0 Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] A84.1 Central European tick-borne information and will only use or disclose that information as set forth in our notice of AHA has urged HHS to renew, Evusheld may not prevent COVID-19 in immunocompromised individuals exposed to the XBB.1.5 omicron subvariant, because the treatment has failed to neutralize, The Department of Health and Human Services will launch this month a COVID-19 Home Test to Treat telehealth pilot program in Berks County, Pa. Program, In a study reported yesterday in JAMA Internal Medicine, children and adolescents previously diagnosed with multisystem inflammatory syndrome (MIS-C) reported, The Federal Emergency Management Agency deadlineis Dec. 31 for applicants to submit funding requests and related documentation to the Public Assistance, CDC announces new ICD-10 codes for COVID-19-related conditions, The Centers for Disease Control and Prevention has published. Encephalitis may cause only mild flu-like signs and symptoms such as a fever or headache or no symptoms at all. All cases of encephalitis were diagnosed radiologically, such as by computed tomography (CT) or magnetic resonance imaging The Federal Emergency Management Agency this week simplified proceduresfor its Public Assistance Program, which provides disaster response grants to non-, The Department of Health and Human Services today renewedthe COVID-19 public health emergency declaration for another 90 days. G04.90 is a billable/specific ICD-10-CM code that Most people with viral encephalitis have mild flu-like symptoms, such as: Sometimes the signs and symptoms are more severe, and might include: In infants and young children, signs and symptoms might also include: Get immediate care if you are experiencing any of the more-severe symptoms associated with encephalitis. Wherever such a combination exists there is a. CPC: Director of Revenue Cycle Management, CPC: Senior Solutions Manager: Practice and RCM, Outsource Strategies International. Encephalitis. Test us for free with a no obligation trial, get the pricing, and then decide if we are a good fit. Viral encephalitis. https://www.uptodate.com/contents/search. Methods: Prospective observational study of patients diagnosed between June 2013 and February 2015. . Autoimmune inflammation, viral and bacterial infections, and noninfectious inflammatory conditions all can cause encephalitis. It is caused by substances such as solvents, drugs, radiation, paints, industrial chemicals, and certain metals solvents, medications or drug ingestions, radiation, paints, industrial chemicals, and certain metals. Meghann joined MOS Revenue Cycle Management Division in February of 2013. This is the American ICD-10-CM version of According to a report from Neurological Research and Practice, COVID-19 cases with symptoms suggestive of encephalitis are olfactory and gustatory disturbances, headaches, dizziness, hallucinations, confusion, dysexecutive disorders, agitation, vigilance reduction, neuralgia, epileptic seizures, ataxia, sudden neurological deficits or pyramidal tract signs. Accessed April 5, 2022. This content does not have an Arabic version. G04.01 is a valid billable ICD-10 diagnosis code for Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM) . The clinical symptoms of ADEM vary significantly. Acute viral encephalitis in children: Treatment and prevention. Encephalopathy is a diffuse brain dysfunction without structural or direct infectious cause. Accessed April 5, 2022. A serious viral disorder characterized by infection of the brain by herpes simplex virus type 1 or 2. 8th ed. A single copy of these materials may be reprinted for noncommercial personal use only. It is most common in women in their 40s and 50s, but anyone can have it. WebICD-10-CM/PCS codes version 2016/2017/2018/2019/2020/2021, ICD10 data search engine Epilepsy is one of the most common, sudden, and recurrent neurological disorders, affecting about 50 million people worldwide. [1] Inflammation of brain parenchymal tissue as a result of viral infection. WebPostherpetic neuralgia (PHN) is neuropathic pain that occurs due to damage to a peripheral nerve caused by the reactivation of the varicella zoster virus (herpes zoster, also known as shingles).PHN is defined as pain in a dermatomal distribution that lasts for at least 90 days after an outbreak of herpes zoster. Centers for Medicare & Medicaid Services, 7500 Security Boulevard Baltimore, MD 21244, Appendix C: Principal diagnoses which convert CC/MCC to non-CC, Hantavirus (cardio)-pulmonary syndrome [HPS] [HCPS], Other viral infections of unspecified site, Sequelae of other specified infectious and parasitic diseases, Sequelae of unspecified infectious and parasitic disease, Unspecified enterovirus as the cause of diseases classified elsewhere, Other enterovirus as the cause of diseases classified elsewhere, Other coronavirus as the cause of diseases classified elsewhere, Reovirus as the cause of diseases classified elsewhere, Parvovirus as the cause of diseases classified elsewhere, Human metapneumovirus as the cause of diseases classified elsewhere, Other viral agents as the cause of diseases classified elsewhere, Meningitis in bacterial diseases classified elsewhere, Meningitis in other infectious and parasitic diseases classified elsewhere, Bacterial meningoencephalitis and meningomyelitis, not elsewhere classified, Other specified degenerative disorders of nervous system in diseases classified elsewhere, Other specified disorders of central nervous system, Disorder of central nervous system, unspecified, Neurogenic arthritis, not elsewhere classified, Other specified disorders of nervous system in diseases classified elsewhere, Other postherpetic nervous system involvement, Acute disseminated encephalitis and encephalomyelitis, unspecified, Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM), Postinfectious acute necrotizing hemorrhagic encephalopathy, Encephalitis and encephalomyelitis in diseases classified elsewhere, Myelitis in diseases classified elsewhere, Acute transverse myelitis in demyelinating disease of central nervous system, Herpesviral infection of urogenital system, unspecified, Herpesviral infection of other male genital organs, Herpesviral infection of other urogenital tract, Herpesviral infection of perianal skin and rectum, Anogenital herpesviral infection, unspecified, Herpesviral gingivostomatitis and pharyngotonsillitis, Varicella encephalitis and encephalomyelitis, Unspecified viral infection characterized by skin and mucous membrane lesions, Infantile papular acrodermatitis [Gianotti-Crosti], Measles keratitis and keratoconjunctivitis, Rubella with neurological complication, unspecified, Other neurological complications of rubella, Acute hepatitis B with delta-agent with hepatic coma, Acute hepatitis B with delta-agent without hepatic coma, Acute hepatitis B without delta-agent with hepatic coma, Acute hepatitis B without delta-agent and without hepatic coma, Acute delta-(super) infection of hepatitis B carrier, Chronic viral hepatitis B with delta-agent, Chronic viral hepatitis B without delta-agent, Unspecified viral hepatitis with hepatic coma, Unspecified viral hepatitis B without hepatic coma, Unspecified viral hepatitis B with hepatic coma, Unspecified viral hepatitis C without hepatic coma, Unspecified viral hepatitis C with hepatic coma. There are several causes, including viral infection, autoimmune inflammation, bacterial infection, insect bites and others. Specific neurological symptoms accompanying the COVID-19 infection include loss of smell and taste, muscle weakness and pain, tingling in the hands and feet, ischemic and hemorrhagic stroke, and seizures. Centers for Disease Control and Prevention. https://www.uptodate.com/contents/search. Diagnosis may be done using EEG to detect epileptogenic lesions and signs of increased intracranial pressure and the treatment may include antiepileptic therapy for acute symptomatic seizures and status epilepticus. Patel H, et al. 2019; doi:10.1055/s-0038-1676845. The Lancet Infections Diseases. WebCentral European tick-borne encephalitis: A849: Tick-borne viral encephalitis, unspecified: A850: Enteroviral encephalitis: A851: Adenoviral encephalitis: A858: Other WebTick-borne viral encephalitis, unspecified: A850: Enteroviral encephalitis: A851: Adenoviral encephalitis: A852: Arthropod-borne viral encephalitis, unspecified: A858: WebCentral European tick-borne encephalitis: A849: Tick-borne viral encephalitis, unspecified: A850: Enteroviral encephalitis: A851: Adenoviral encephalitis: A852: Arthropod-borne viral encephalitis, unspecified: A858: Other specified viral encephalitis: A872: Lymphocytic choriomeningitis: A880: Enteroviral exanthematous fever [Boston Acyclovir: An overview. Natalie joined MOS Revenue Cycle Management Division in October 2011. Varicella zoster virus (VZV) encephalitis is an infectious inflammatory disease of brain that can cause irreversible mental damage without timely treatment. ICD-10 Codes to Report Neurological Complications Related to COVID-19 Guillain-Barr syndrome (GBS) (acute inflammatory demyelinating polyneuritis AIDP) Guillain-Barr syndrome (GBS) is a serious complication of COVID-19 disease and can occur within days of the first respiratory symptoms. https://www.uptodate.com/contents/search. Syndrome thought to be caused by a viral organism resulting in chronic fatigue, fever, pain, sore throat, and, in some cases, depression. Acute encephalitis may be caused by the direct infection of brain tissue with the virus. Meningitis in other infectious and parasitic diseases classified elsewhere. There is a problem with While busy providing quality care for patients, healthcare providers can rely on an experienced physician billing company to take care of tasks such as insurance eligibility verification and medical coding that impacts the revenue growth of their practice. Seminars in Neurology. SARS-CoV-2 infection may be associated with an increased incidence of cerebrovascular diseases such as ischemic stroke and intracerebral hemorrhage. https://www.uptodate.com/contents/search. While in the ED, she had a tonic-clonic seizure that was witnessed by staff. Singh TD, et al. Encephalopathy ICD-10 Codes G92 Toxic Encephalopathy This condition is caused by the interaction of a chemical compound with the brain. Gluckman SJ. In this context, annotation back-references refer to codes that contain: Code annotations containing back-references to, This is the American ICD-10-CM version of, herpesviral encephalitis due to herpesvirus 6 and 7 (, diseases generally recognized as communicable or transmissible, certain localized infections - see body system-related chapters, carrier or suspected carrier of infectious disease (, infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (, infectious and parasitic diseases specific to the perinatal period (, influenza and other acute respiratory infections (, code to identify resistance to antimicrobial drugs (, Encephalitis due to human herpes simplex virus. Guillain-Barr syndrome (GBS) is a serious complication of COVID-19 disease and can occur within days of the first respiratory symptoms. To provide you with the most relevant and helpful information, and understand which Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] Other specified viral infections of central nervous system. Krogstad P, et al. 2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code. Symptoms are not caused by ongoing exertion; are not relieved by rest; and result in a substantial reduction of previous levels of occupational, educational, social, or personal activities. Not only for neurology, SARS-CoV-2 pandemic has implications for all areas of medicine. Emergency evaluation and management of encephalitis and myelitis in adults. Products containing both DEET and sunscreen aren't recommended for children because reapplication which might be necessary for the sunscreen component will expose the child to too much DEET. Symptoms of cfs include fatigue for 6 months or more and experiencing other problems such as muscle pain, memory problems, headaches, pain in multiple joints, sleep problems, sore throat and tender lymph nodes. Infants and young children with any signs or symptoms of encephalitis should receive urgent care. WebAnti-NMDA receptor encephalitis is a type of brain inflammation caused by antibodies. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Loralee joined MOS Revenue Cycle Management Division in October 2021. Diagnosis may require CT or MRI to detect structural lesions and brain edema and EEG to monitor diffuse brain dysfunction and for the detection of pileptic seizures or status epilepticus. Far Eastern tick-borne encephalitis [Russian spring-summer encephalitis] Other specified viral infections of central nervous Going beyond just getting the job done, we can help create sustainable improvement as part of your medical billing team. https://www.uptodate.com/contents/search. Neurasthenia and fibromyalgia may represent related disorders. When an infected mosquito bites an animal or a human (host), the virus is passed into the host's bloodstream, where it may cause serious illness. Daroff RB, et al. Don't use repellent on the hands of young children who may put their hands in their mouths. Accessed April 13, 2022. In this context, annotation back-references refer to codes that contain: Code annotations containing back-references to, This is the American ICD-10-CM version of, Noninfectious acute disseminated encephalomyelitis (noninfectious ADEM), certain conditions originating in the perinatal period (, certain infectious and parasitic diseases (, complications of pregnancy, childbirth and the puerperium (, congenital malformations, deformations, and chromosomal abnormalities (, endocrine, nutritional and metabolic diseases (, injury, poisoning and certain other consequences of external causes (, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (, acute necrotizing hemorrhagic encephalopathy (, other noninfectious acute disseminated encephalomyelitis (noninfectious ADEM) (. They include codes for COVID-19 screening; suspected exposure to COVID-19; personal history of COVID-19; multisystem inflammatory syndrome; other systemic involvement of connective tissue; and pneumonia due to COVID-19. post infection and related fatigue syndromes (, Occupational neurosis, including writer's cramp, certain conditions originating in the perinatal period (, certain infectious and parasitic diseases (, complications of pregnancy, childbirth and the puerperium (, congenital malformations, deformations, and chromosomal abnormalities (, endocrine, nutritional and metabolic diseases (, injury, poisoning and certain other consequences of external causes (, symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (. In this context, annotation back-references refer to codes that contain: Code annotations containing back-references to, This is the American ICD-10-CM version of, diseases generally recognized as communicable or transmissible, certain localized infections - see body system-related chapters, carrier or suspected carrier of infectious disease (, infectious and parasitic diseases complicating pregnancy, childbirth and the puerperium (, infectious and parasitic diseases specific to the perinatal period (, influenza and other acute respiratory infections (, code to identify resistance to antimicrobial drugs (. Jan. 28, 2022. When treating COVID-19 patients, physicians detect possible cerebrovascular complications and immediately initiate the necessary diagnostic procedures. Always assist children with the use of mosquito repellent. In some cases, encephalitis can be life-threatening. In: Mandell, Douglas, and Bennett's Principles and Practice of Infectious Diseases. An acute (or rarely chronic) inflammatory process of the brain caused by simplexvirus infections which may be fatal. In fact, many viruses can cause encephalitis, and the viral loads in cerebrospinal fluid (CSF) in the early stage of the disease are usually too low to be detected. G04.81 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Mayo Clinic is a not-for-profit organization. 2015;29:371. Accessed April 5, 2022. Make a donation. The exact cause of encephalitis is often unknown. by Natalie Tornese | Last updated Nov 9, 2022 | Published on Jun 24, 2021 | Resources | 0 comments. Hired for her dental expertise, Amber brings a wealth of knowledge and understanding of the dental revenue cycle management (RCM) services to MOS. Infectious Disease Clinics of North America. 9th ed. privacy practices. In: Bradley's Neurology in Clinical Practice. 2018; doi:10.1002/ana.25131. This content does not have an English version. For such conditions the ICD-10-CM has a coding convention that requires the underlying condition be sequenced first followed by the manifestation. Saunders Elsevier; 2020. http://www.clinicalkey.com. Secondary seizures may be initiated after strokes, electrolyte imbalance, increased oxidative stress, and mitochondrial dysfunction in Covid-19 patients. Request a Demo 14 Day Free Trial Buy Now. 2023 by the American Hospital Association. WebICD-10 code A85 for Other viral encephalitis, not elsewhere classified is a medical classification as listed by WHO under the range - Certain infectious and parasitic diseases . Accessed April 5, 2022. Prompt diagnosis and treatment are important because it's difficult to predict how encephalitis will affect each individual. A syndrome characterized by persistent or recurrent fatigue, diffuse musculoskeletal pain, sleep disturbances, and subjective cognitive impairment of 6 months duration or longer. The Centers for Disease Control and Prevention has published an addenda with instructions for implementing six new ICD-10 diagnosis codes for reporting COVID-19-related conditions on health care claims effective Jan. 1. Chronic fatigue syndrome (cfs) is a disorder that causes extreme fatigue. A serious viral disorder characterized by infection of the brain by herpes simplex virus type 1 or 2. Website Design by, Last updated Nov 9, 2022 | Published on Jun 24, 2021, A leading cause of irreversible blindness, #Glauco, During the COVID-19 health emergency, #Medicare pa, #Hemochromatosis is an inherited liver disorder th, #PhysicalTherapists often face denials due to elig, Have you made a New Year resolution to improve you, Outsourcing your medical billing to OSI can save y, OSIs Article January is Thyroid Awareness Month Featured in BC Advantage, ICD-10 Codes for 5 Common Cerebrovascular Diseases [Infographic], G61.8 Other inflammatory polyneuropathies, G61.89 Other inflammatory polyneuropathies, G61.9 Inflammatory polyneuropathy, unspecified, G62 Other and unspecified polyneuropathies, G04 Encephalitis, myelitis and encephalomyelitis, G04.0 Acute disseminated encephalitis and encephalomyelitis (ADEM), G04.00 Acute disseminated encephalitis and encephalomyelitis, unspecified, G04.01 Postinfectious acute disseminated encephalitis and encephalomyelitis (postinfectious ADEM), G04.02 Postimmunization acute disseminated encephalitis, myelitis and encephalomyelitis, G93.4 Other and unspecified encephalopathy, I63.0 Cerebral infarction due to thrombosis of precerebral arteries, I63.00 Cerebral infarction due to thrombosis of unspecified precerebral artery, I63.01 Cerebral infarction due to thrombosis of vertebral artery, I63.011 Cerebral infarction due to thrombosis of right vertebral artery, I63.012 Cerebral infarction due to thrombosis of left vertebral artery, I63.013 Cerebral infarction due to thrombosis of bilateral vertebral arteries, I63.019 Cerebral infarction due to thrombosis of unspecified vertebral artery, I63.02 Cerebral infarction due to thrombosis of basilar artery, I63.03 Cerebral infarction due to thrombosis of carotid artery, I63.031 Cerebral infarction due to thrombosis of right carotid artery, I63.032 Cerebral infarction due to thrombosis of left carotid artery, I63.033 Cerebral infarction due to thrombosis of bilateral carotid arteries, I63.039 Cerebral infarction due to thrombosis of unspecified carotid artery, I63.09 Cerebral infarction due to thrombosis of other precerebral artery, I61 Nontraumatic intracerebral hemorrhage, I61.0 Nontraumatic intracerebral hemorrhage in hemisphere, subcortical, I61.1 Nontraumatic intracerebral hemorrhage in hemisphere, cortical, I61.2 Nontraumatic intracerebral hemorrhage in hemisphere, unspecified, I61.3 Nontraumatic intracerebral hemorrhage in brain stem, I61.4 Nontraumatic intracerebral hemorrhage in cerebellum, I61.5 Nontraumatic intracerebral hemorrhage, intraventricular, I61.6 Nontraumatic intracerebral hemorrhage, multiple localized, I61.8 Other nontraumatic intracerebral hemorrhage, I61.9 Nontraumatic intracerebral hemorrhage, unspecified, G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, 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, G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, G40.3 Generalized idiopathic epilepsy and epileptic syndromes, G40.30 Generalized idiopathic epilepsy and epileptic syndromes, not intractable, G40.31 Generalized idiopathic epilepsy and epileptic syndromes, intractable. 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