Epilepsy

Progression

• When did disease process start

• Initial versus subsequent visit
  

Location

• Localized onset, focal, partial , simple partial, complex partial
  

Acuity

• Acute, chronic, persistent, intermittent, intractable versus not intractable
  

Name

• Seizure disorder
  
• Documentation requirements:
  
  • Pharmacoresistant epilepsy
  • Treatment-resistant epilepsy
    
  • Medically refractory epilepsy
  • Poorly controlled epilepsy
    
  • Focal epilepsy
  • Juvenile myoclonic epilepsy (impulsive petit mal)
    
  • With or without status epilepticus
    

Necessary Procedures

• N/A
  

Other

• N/A
  

Why

• Special epileptic syndromes-seizures related to alcohol, drugs, sleep deprivation, etc.
  
• Any known causes or underlying conditions, comorbidities, or associated problems
  

• Noncompliance with medication, alcohol or drug abuse or dependence, head trauma, etc.

• Any comorbid conditions that could contribute to epilepsy