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F44.5 vs G40.81

F44.5 (Conversion disorder with seizures or convulsions) compared with G40.81 (Lennox-Gastaut syndrome), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.

Can these codes be reported together?

No — do not report together. G40.81 carries an Excludes1 note covering F44.5: “conversion disorder with seizures (F44.5)”

Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Side by side

F44.5Conversion disorder with seizures or convulsionsG40.81Lennox-Gastaut syndrome
Billing statusBillableNon-billable header

Report instead: G40.811, G40.812, G40.813, G40.814

ClassificationF01-F99 — Mental, Behavioral and Neurodevelopmental Disorders (F01-F99)G00-G99 — Diseases of the Nervous System (G00-G99)
DefinitionConversion disorder with seizures or convulsions is a billable ICD-10-CM diagnosis code (F44.5).Lennox-Gastaut syndrome is a non-billable ICD-10-CM category code (G40.81).
Includes
conversion hysteria
conversion reaction
hysteria
hysterical psychosis

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources