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Compare/G40.0 vs G40.2

G40.0 vs G40.2

G40.0 (Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset) compared with G40.2 (Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures), 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. G40.0 carries an Excludes1 note covering G40.2: “adult onset localization-related epilepsy (G40.1-, G40.2-)”

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

G40.0Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onsetG40.2Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures
Billing statusNon-billable header

Report instead: G40.001, G40.009, G40.011, G40.019

Non-billable header

Report instead: G40.201, G40.209, G40.211, G40.219

ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)G00-G99 — Diseases of the Nervous System (G00-G99)
DefinitionLocalization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset is a non-billable ICD-10-CM category code (G40.0).Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures is a non-billable ICD-10-CM category code (G40.2).
Includes
Benign childhood epilepsy with centrotemporal EEG spikes
Childhood epilepsy with occipital EEG paroxysms
Attacks with alteration of consciousness, often with automatisms
Complex partial seizures developing into secondarily generalized seizures

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