G40.82 (Epileptic spasms) compared with G93.81 (Temporal sclerosis), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).
Distinct conditions — both may be reported.
“hippocampal sclerosis (G93.81)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Distinct conditions — both may be reported.
“mesial temporal sclerosis (G93.81)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Distinct conditions — both may be reported.
“temporal sclerosis (G93.81)”
An Excludes2 note means the excluded condition is not part of the code above it, but a patient can have both. Report both when both are documented.
Source: CMS ICD-10-CM tabular instructional notes
Yes, when both are documented. G40.82 carries an Excludes2 note covering G93.81: “hippocampal sclerosis (G93.81)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. G40.82 carries an Excludes2 note covering G93.81: “mesial temporal sclerosis (G93.81)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
Yes, when both are documented. G40.82 carries an Excludes2 note covering G93.81: “temporal sclerosis (G93.81)”
Excludes2 marks distinct conditions — both may be reported when both are documented.
| G40.82Epileptic spasms | G93.81Temporal sclerosis | |
|---|---|---|
| Billing status | Non-billable header | Billable |
| Classification | G00-G99 — Diseases of the Nervous System (G00-G99) | G00-G99 — Diseases of the Nervous System (G00-G99) |
| Definition | Epileptic spasms is a non-billable ICD-10-CM category code (G40.82). | Temporal sclerosis is a billable ICD-10-CM diagnosis code (G93.81). |
| Includes | Infantile spasms Salaam attacks West's syndrome | Hippocampal sclerosis Mesial temporal sclerosis |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources