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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