ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G40.833

Billable / Specific HCC v28: 79 CC

Dravet syndrome, intractable, with status epilepticus

G40
Block
0
Synonyms
228
LCDs
14
Payer Policies
18
Linked CPTs

About ICD-10-CM G40.833

ICD-10-CM code G40.833 represents Dravet syndrome, intractable, with status epilepticus. This is a billable/specific code in the Nervous System chapter (block G40). The 2026 edition of ICD-10-CM G40.833 became effective on October 1, 2025.

Coding Tips for G40.833

Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.

HCC capture: document with MEAT each year

G40.833 is a CMS-HCC v28 risk-adjustment code (category 79). To count for the patient Risk Adjustment Factor (RAF), document the diagnosis with MEAT language each calendar year: Monitored, Evaluated, Assessed, Treated. A diagnosis on the problem list alone does not satisfy CMS RADV audit standards. Include the diagnosis in the assessment with current status and current treatment plan.

Inpatient DRG impact: CC

G40.833 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.

Medicare Advantage HCC Impact

CMS-HCC v28 (current)
Category 79
ESRD-HCC
Category 79
RxHCC (Part D)
Category 79

Capture this diagnosis annually for accurate risk adjustment. Missed HCC captures are the #1 revenue leak in Medicare Advantage risk programs.

Inpatient DRG Impact, CC

codes Dravet syndrome, intractable, with status epilepticus. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.

Medicare LCD Coverage for G40.833

Local Coverage Determinations (LCDs) from CMS MACs that list G40.833 as a covered diagnosis.

228 LCDs

Showing top 10 of 228 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96131 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96130 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96132 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96133 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96137 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96136 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96139 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT 96138 →
CMS LCD: Billing and Coding: Psychological and Neuropsychological Tests
Article ID: 57780, Effective: 2025-10-01 00:00:00, 1784 covered, 1 non-covered
CPT G0451 →
CMS LCD: Billing and Coding: Special Electroencephalography
Article ID: 56771, Effective: 2024-11-01 00:00:00, 289 covered, 0 non-covered
CPT 95719 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G40.833.

14 policies

4 Cigna

Electroencephalography - (0521)
Policy ID: MM_0521
Neuropsychological Testing - (EN0258)
Policy ID: EN_MM_0258
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Nerve Conduction Studies and Electromyography
Policy ID: ART-56619
Billing and Coding: Special Electroencephalography
Policy ID: ART-56771
Billing and Coding: Visual Fields Testing
Policy ID: ART-56799
Billing and Coding: Outpatient Speech Language Pathology
Policy ID: ART-56868

CPT Codes Commonly Billed with G40.833

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

18 linkages
  • 95711 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95714 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95726 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95709 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95723 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95710 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95716 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95707 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95712 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD
  • 95724 CMS LCD: Billing and Coding: EEG � Ambulatory Monitoring CMS LCD

Codes Adjacent To G40.833

Other codes in section G40-G47 (Episodic and paroxysmal disorders).

G40 Epilepsy and recurrent seizures (non-billable) G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset (non-billable) G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable (non-billable) G40.001 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus G40.009 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable (non-billable) G40.011 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus G40.019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures (non-billable) G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable (non-billable) G40.101 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus G40.109 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable (non-billable) G40.111 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus G40.119 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures (non-billable) G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable (non-billable) G40.201 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus G40.209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable (non-billable)

ICD-10 G40.833, Billing FAQ

Is ICD-10 code G40.833 billable? +

Yes, G40.833 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

Does G40.833 affect Medicare Advantage HCC risk adjustment? +

Yes. G40.833 maps to CMS-HCC v28 category 79. Capture this diagnosis annually for accurate Medicare Advantage risk score.

Is G40.833 a CC or MCC for inpatient DRG? +

Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.

What CPT codes are commonly billed with G40.833? +

Procedures frequently paired with G40.833 include: 95711, 95714, 95726, 95709, 95723.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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