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G40.81 vs P90

G40.81 (Lennox-Gastaut syndrome) compared with P90 (Convulsions of newborn), 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 P90: “seizure of newborn (P90)”

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

G40.81Lennox-Gastaut syndromeP90Convulsions of newborn
Billing statusNon-billable headerBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)
DefinitionLennox-Gastaut syndrome is a non-billable ICD-10-CM category code (G40.81).Convulsions of newborn is a billable ICD-10-CM diagnosis code (P90).

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