ICD-10 Coding for Personal History of Seizures(Z86.69)
Complete ICD-10-CM coding and documentation guide for Personal History of Seizures. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Personal History of Seizures
Z86.69Primary Range
Personal history of other diseases of the nervous system and sense organs
Used when a patient has a resolved history of seizures with no current treatment or recurrence.
Convulsions, not elsewhere classified
Used for unspecified convulsions when seizures are active but not classified as epilepsy.
Key Information: ICD-10 code for personal history of seizures
Essential facts and insights about Personal History of Seizures
Primary ICD-10-CM Code for personal history of seizures
Decision Criteria
clinical Criteria
- Patient has been seizure-free for over 5 years.
documentation Criteria
- No current anticonvulsant medication is prescribed.
Clinical Validation Requirements
- Documented resolution of seizure activity
- No current anticonvulsant therapy
- No seizures in the past 5 years
Code-Specific Risks
- Incorrectly using for active seizure conditions
Coding Notes
- Ensure documentation clearly differentiates between resolved and active seizure conditions.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Conversion disorder with seizures or convulsions
F44.5Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Personal History of Seizures to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.69.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to lack of specificity.
Mitigation Strategy
Ensure detailed history taking., Regularly update patient records.
Impact
Reimbursement: May lead to incorrect DRG assignment affecting reimbursement., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate patient records affecting clinical data quality.
Mitigation Strategy
Verify if the patient is truly seizure-free and off medication before coding.
Impact
Incorrect use of Z86.69 for active conditions.
Mitigation Strategy
Regular training on coding guidelines and documentation review.
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 Personal History of Seizures, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Personal History of Seizures
Use these documentation templates to ensure complete and accurate documentation for Personal History of Seizures. These templates include all required elements for proper coding and billing.
Resolved Seizure History in Adult Patient
Specialty: NeurologyRequired Elements
- Seizure type and history
- Date of last seizure
- Current medication status
- Neurologist's evaluation
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Personal History of Seizures? Ask your questions below.