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Thread: which ICD-9 code to choose

  1. #1

    Question which ICD-9 code to choose

    AAPC: Back to School
    Hi everyone, wanted to get some input, please. Regarding seizures, we have a few of us using the code 780.39 and then a few of us are using 345.90. When the MD only writes seizures on the note, which is the proper code to use? These codes are both suggestive of seizures, although 345.90 states recurrent seizures. Your expertise is appreciated! Thank you!

  2. #2
    Join Date
    Apr 2007
    Macon, Ga


    I use 780.39 in my office - Deanna
    Deanna, CPC

  3. #3
    Join Date
    Apr 2007
    Duluth, Minnesota


    unless they specifically state a type of seisure - I stick with 780.39. when they're more specific, I'm more specific often, I'll ask them to clarify exactly what they mean, what type... BUT, again - if no clarification or specificity is available - 780.39 is what it gets...
    Donna, CPC, CPC-H

  4. #4

    Default Icd-9

    To use anything other than 780.39 the physician would need to identify a specific type of seizure. The ICD-9 guidelines is helpful if you need authorative backing.

  5. #5


    Thanks very much!

  6. #6
    Join Date
    Apr 2007
    Albany, New York


    If I have documentation that reads "seizure disorder", I use 345.90

    If note only states "seizures", I go with 780.39
    Karen Maloney, CPC
    Data Quality Specialist

  7. #7
    Join Date
    Apr 2007

    Default Refractory seizures

    So refractory seizures would get a diagnosis of 345.90

  8. #8
    Join Date
    Apr 2007
    Baton Rouge


    Quote Originally Posted by Kimberley View Post
    So refractory seizures would get a diagnosis of 345.90
    No. If it the seizure disorder is unspecified but is stated to be refractory then I would use 345.91.

    345.91 Unspecified epilepsy with intractable epilepsy

    pharmacoresistant (pharmacologically resistant)

    poorly controlled

    refractory (medically)

    treatment resistant
    Chastity Nault, CPC
    HIM Professional Services Coder - Remote

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