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G40.842 vs G83.84

G40.842 (KCNQ2-related epilepsy, not intractable, without status epilepticus) compared with G83.84 (Todd's paralysis (postepileptic)), from the official CMS tabular data.

Summary

These codes can be reported together when both conditions are documented, because G40.842 lists G83.84 under Excludes2, which marks them as distinct conditions.

Official rule
What is different?

The conditions named.G40.842 is “KCNQ2-related epilepsy, not intractable, without status epilepticus”; G83.84 is “Todd's paralysis (postepileptic)”.

Registry fact

Can these codes be reported together?

Yes, when both are documented.G40.842 lists G83.84 under Excludes2: “Todd's paralysis (G83.84)”. Excludes2 marks distinct conditions that may both be reported when both are documented.

Official ruleGuide: Excludes1 vs Excludes2

Is there an Excludes1 relationship?

None.Neither entry carries an Excludes1 note that names the other code. G40.842 carries 5 Excludes1 notes and G83.84 carries 1 Excludes1 note covering other codes; the side-by-side table quotes them.

Official rule

Is there an Excludes2 relationship?

Yes.G40.842’s tabular entry: “Todd's paralysis (G83.84)”. The note covers G83.84.

Official ruleGuide: Excludes1 vs Excludes2

Is one more specific?

Not comparable.The codes sit in different categories; specificity is only comparable within one category.

Is one a parent or header code?

No.Both are billable codes, and neither contains the other.

Registry fact

Are there sequencing instructions?

None.Neither entry carries a Code First or Use Additional Code note that names the other.

Official rule

Are there other coding relationships?

None found.No laterality, encounter-phase, Table of Neoplasms, Table of Drugs and Chemicals, or history-versus-active-disease relationship links these codes.

MedCoder-derived

Official rule: a tabular instructional note or a section of the ICD-10-CM Official Guidelines, quoted as published. Registry fact: the codes’ own published attributes (titles, billable status, position in the hierarchy, code set). MedCoder-derived: a reading MedCoder computes from those facts; it is not itself a rule. How to read the labels

Can these codes be reported together?

Informational

Excludes2 relationship

G40.842
KCNQ2-related epilepsy, not intractable, without status epilepticus
↔
G83.84
Todd's paralysis (postepileptic)

What we found

Yes, when both are documented.G40.842 carries an Excludes2 note covering G83.84: “Todd's paralysis (G83.84)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

What to review

Report both only when the documentation supports both conditions; otherwise report the one documented.

Guide: Excludes1 vs Excludes2Check these on a claim

Why it matters

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 / rule

CMS ICD-10-CM tabular instructional notes

Official guidance behind these answers

  • Section I.A.12.b — Excludes2 · applies to: Excludes2

    A type 2 Excludes note represents “Not included here.” An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.

    ICD-10-CM Official Guidelines FY2026

Quoted from the ICD-10-CM Official Guidelines for Coding and Reporting in effect for the release shown. The tabular notes above are the code-level instruction; these sections are the convention that says how such a note is applied. Source document (CMS PDF) · Release and checksum

Side by side

G40.842KCNQ2-related epilepsy, not intractable, without status epilepticusG83.84Todd's paralysis (postepileptic)
Billing statusBillableBillable
ClassificationG00-G99 — Diseases of the Nervous System (G00-G99)G00-G99 — Diseases of the Nervous System (G00-G99)
DefinitionKCNQ2-related epilepsy, not intractable, without status epilepticus is a billable ICD-10-CM diagnosis code (G40.842).Todd's paralysis (postepileptic) is a billable ICD-10-CM diagnosis code (G83.84).
Includes
KCNQ2-related epilepsy NOS
paralysis (complete) (incomplete), except as in G80-G82
Excludes1
conversion disorder with seizures (F44.5)
convulsions NOS (R56.9)
post traumatic seizures (R56.1)
seizure (convulsive) NOS (R56.9)
seizure of newborn (P90)
paralytic syndromes due to current spinal cord injury-code to spinal cord injury (S14, S24, S34)
Excludes2
hippocampal sclerosis (G93.81)
mesial temporal sclerosis (G93.81)
temporal sclerosis (G93.81)
Todd's paralysis (G83.84)
—

Notes are the code’s own tabular entry, quoted as published. A note that names the other code is the one the verdict above rests on.

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Derived from the official CMS ICD-10-CM tabular data (FY2027). A coding-rule comparison, not billing advice: payer-specific edits and medical-necessity policy are outside its scope. All data sources