AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 1; Ask the Editor
Psychogenic Non-Epileptic Attacks
A patient with a history of seizure-like episodes on multiple non-epileptic medications presented for encephalographic (EEG) monitoring. The EEG did not demonstrate epileptic seizures. The provider’s final diagnostic statement listed, “Psychogenic non-epileptic attacks (PNEA)” and the patient was referred to psychiatry. What is the proper code assignment for psychogenic non-epileptic attacks, when the symptoms do not correlate with epileptic seizures? ...
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Article Overview
This article explains the coding topic of psychogenic non-epileptic attacks when seizure-like symptoms do not correlate with epileptic seizures on EEG monitoring. It is intended for coders, billers, CDI staff, and clinicians who need to understand the diagnosis coding considerations and related psychiatric follow-up context. The article focuses on the relevant ICD-10-CM diagnosis category and the general scenario in which the symptom presentation is assessed.
Why This Topic Matters
Accurate diagnosis coding affects clinical documentation consistency, claims processing, and communication between neurology, psychiatry, and coding teams when seizure-like episodes are not epileptic in origin.
What You Will Learn
- The coding topic addressed by the article
- How seizure-like, non-epileptic presentations are discussed in a coding context
- The role of EEG monitoring and psychiatric referral in the scenario
- Which diagnosis category the article associates with psychogenic non-epileptic attacks
Who Should Read This
- Medical coders
- Coding auditors
- Clinical documentation improvement specialists
- Billing staff
- Neurology and psychiatry clinicians
Codes Discussed
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