ICD-10 Coding for History of Epilepsy(Z86.79)
Complete ICD-10-CM coding and documentation guide for History of Epilepsy. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Epilepsy
Key Information: ICD-10 code for history of epilepsy
Essential facts and insights about History of Epilepsy
Primary ICD-10-CM Code for history of epilepsy
Decision Criteria
clinical Criteria
- Patient has no seizures and is not on antiepileptic medication.
Applicable To
- History of epilepsy
Excludes
- Current epilepsy (G40.-)
Clinical Validation Requirements
- Documented history of epilepsy with no current seizures
- No current antiepileptic drug therapy
Code-Specific Risks
- Misclassification if current epilepsy is present
Coding Notes
- Ensure that the patient's epilepsy is resolved and not currently being treated.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Epilepsy to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.79.
Impact
Clinical: Misrepresents patient's current health status, Regulatory: Non-compliance with coding guidelines, Financial: Potential for incorrect billing and reimbursement
Mitigation Strategy
Review current clinical status, Confirm absence of seizures and treatment
Impact
Reimbursement: Incorrect coding can lead to claim denials., Compliance: Misclassification affects compliance with coding standards., Data Quality: Impacts the accuracy of patient medical records.
Mitigation Strategy
Verify current seizure activity and treatment status before coding.
Impact
Risk of coding resolved epilepsy as active or vice versa
Mitigation Strategy
Implement thorough documentation review processes
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for History of Epilepsy, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Epilepsy
Use these documentation templates to ensure complete and accurate documentation for History of Epilepsy. These templates include all required elements for proper coding and billing.
Resolved Epilepsy Documentation
Specialty: NeurologyRequired Elements
- Patient history of epilepsy
- Current seizure status
- Current medication status
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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