eTable 3 Diagnosis and Procedure Codes
Epilepsy or convulsion ICD-9: 345.x, 780.3x ICD-10: G40.x, R56.x
Drug-resistant epilepsy ICD-9: 345.01, 345.11, 345.41, 345.51, 345.61, 345.71, 345.81, 345.91
ICD-10: G40.01x, G40.11x, G40.21x, G40.31x, G40.A1x, G40.B1x, G40.41x, G40.803, G40.804, G40.813, G40.814, G40.823,
G40.824, G40.91x
Routine EEG CPT 95812, 95813, 95816, 95819, 95822
Routine and Long-term EEG CPT 95812, 95813, 95816, 95819, 95822 OR 95827, 95830, 95950, 95951, 95953, 95956
Brain MRI CPT 70551, 70552, 70553
Epilepsy surgery evaluation brain PET: CPT 78608 SPECT: CPT 78607 fMRI: CPT 70554, 70555 Wada: CPT 95958
Epilepsy surgery completion resective surgery: CPT 61534, 61536, 61537, 61538, 61539, 61540, 61541, 61543, 61566, 61567
electrode and stimulator implantation: CPT 64573, 64553, 61885, 61863, 61864, 61886
electrode implantation for monitoring: CPT 61531, 61760 stimulation programing: CPT 95970, 95974, 95975 Alcohol abuse/withdrawal ICD-9: 291.x, 303.0x, 303.9x, 305.0x
ICD-10: F10.1x, F10.2x, F10.9x Syncope and collapse ICD-9: 780.2
ICD-10: R55 Psychogenic non-epileptic spell,
functional/psychogenic
neurologic disorder, or dissociate syndrome
ICD-9: 780.72, 300.11, 300.12, 300.13, 300.15, 300.6, 300.8x, 306.7, 306.8, 306.9
ICD-10: F44.x
Brain tumor ICD-9: 191.x, 192.x, 198.3, 225.0, 225.1, 225.2, 225.8, 225.9, 228.02, 237.5, 237.6, 237.9, 239.6, 239.7
ICD-10: C70.0, C71.x, C72.4, C72.5, C79.3, D32.0, D32.9, D33.0, D33.1, D33.2, D33.3, D33.7, D33.9, D42.0, D42.9, D43.0, D43.1, D43.2, D43.3, D43.8, D43.9, Q85.1
Focal epilepsy ICD-9: 345.4, 345.5, 345.7 ICD-10: G40.0, G40.1, G40.2, Generalized epilepsy ICD-9: 354.0, 345.1, 345.2, 354.3
ICD-10: G40.3, G40.A, G40.B, G40.4 Unknown epilepsy ICD-9: 345.6, 345.8, 345.9, 780.3
ICD-10: G40.5, G40.8, G40.9, R56
