Epileptic spasms, not intractable, with status epilepticus

This code signifies a seizure disorder characterized by sudden, brief, symmetrical contractions of the head, trunk, and extremities, often occurring in clusters. These spasms are currently responsive to treatment (not intractable) but are prolonged or rapidly recurring, constituting status epilepticus. It represents a severe form of epilepsy, particularly common in infants and young children.

Apply this code when documentation clearly indicates a diagnosis of epileptic spasms that are not refractory to current medical management, but the patient is experiencing status epilepticus. This typically involves continuous or rapidly recurring seizures without full recovery of consciousness between episodes. Documentation should specify "epileptic spasms" and "status epilepticus" along with the "not intractable" status.

• Ensure documentation explicitly states "not intractable" to differentiate from intractable forms.
• Do not confuse epileptic spasms with other seizure types; look for specific descriptions of sudden, brief contractions.
• Always sequence this code as the primary diagnosis when it is the reason for the encounter.