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ICD-10 Coding for Psychogenic Nonepileptic Seizure(F44.5, F44.0, F44.9)

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Learn about the ICD-10 coding for psychogenic nonepileptic seizures (PNES), including code F44.5, documentation requirements, and common pitfalls.

Also known as:
PNESPsychogenic Nonepileptic AttackPseudoseizure
Related ICD-10 Code Ranges

Complete code families applicable to Psychogenic Nonepileptic Seizure

F01-F99Primary Range

Mental, Behavioral and Neurodevelopmental disorders

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
F44.5Conversion disorder with seizures or convulsions
R56.9Unspecified convulsions
Primary ICD-10-CM Codes
Conversion disorder with seizures or convulsions
F44.5Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Epilepsy, unspecifiedG40.909

Use only if epileptic seizures coexist and are documented.

Conversion disorder with seizures or convulsionsF44.5

Documentation & Coding Risks

Avoid these common issues when documenting Psychogenic Nonepileptic Seizure.

Vague documentation of seizure events

Impact

Clinical: Leads to misdiagnosis and inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials due to insufficient documentation.

Mitigation

Provide detailed descriptions of seizure events., Ensure video-EEG results are included.

Misdiagnosis as epilepsy

Impact

Reimbursement: Incorrect DRG assignment can affect reimbursement., Compliance: Non-compliance with ICD-10 guidelines., Data Quality: Inaccurate clinical data and statistics.

Mitigation

Ensure video-EEG confirms non-epileptic origin before coding F44.5.

Overusing R56.9

Impact

Reimbursement: Potential claim denials due to lack of specificity., Compliance: Failure to adhere to coding guidelines., Data Quality: Ambiguous data affecting patient records.

Mitigation

Use R56.9 only when PNES is unconfirmed.

Documentation of PNES

Impact

Inadequate documentation of video-EEG and psychological factors.

Mitigation

Implement standardized templates for documenting PNES.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with F44.5.