2025 ICD-10-CM code R56.01
Complex febrile convulsions are seizures that occur during a fever and are characterized by their complexity.
Modifiers may be applicable depending on the specific circumstances of the encounter.Consult appropriate coding guidelines for details.
Medical necessity for the diagnosis of complex febrile convulsions is established by the clinical presentation of a seizure that is characterized by its complexity (e.g., prolonged duration, atypical features, altered consciousness).This diagnosis requires clinical evaluation and assessment to differentiate from other causes of seizures and to determine the need for further diagnostic testing or management.
The clinical responsibility for a patient experiencing complex febrile convulsions involves immediate assessment and management of the seizure, monitoring for complications, and determining the underlying cause of the seizure activity.This may include administering medications to stop the seizure, providing supportive care, and ordering diagnostic tests as needed. Long-term management may involve medication to prevent future seizures and education for the patient and family about seizure management.The clinician's role includes explaining the diagnosis and treatment plan, and providing support and counseling.
In simple words: Complex febrile convulsions are seizures a child has when they have a fever.These seizures are more complicated than simple febrile seizures. They might last longer or be more serious.A doctor needs to check to make sure there isn't another problem causing the seizures. Treatment depends on how severe the seizures are.
Complex febrile convulsions are seizures that occur in children with a fever and are classified as complex due to their characteristics.These seizures may involve prolonged duration, atypical features (such as focal or tonic-clonic movements), and/or may be accompanied by altered consciousness. The complexity differentiates them from simple febrile seizures.Accurate diagnosis requires detailed assessment of the seizure event, including the seizure's duration, characteristics, and any associated symptoms.Further investigation may be necessary to rule out other underlying causes of the seizures.Treatment depends on the severity and frequency of the seizures and may include medication, or further diagnostic testing.
Example 1: A 2-year-old child presents to the emergency department with a complex febrile seizure lasting over 15 minutes.The child has altered consciousness and post-ictal confusion.The clinician will administer medications to stop the seizure, monitor vital signs, and assess for any neurological deficits.The child will be admitted for observation., A 3-year-old child has a complex febrile seizure that recurs multiple times.The clinician will order a brain MRI to rule out any structural abnormalities.The child will be referred to a neurologist for further evaluation and management., A 5-year-old child has a complex febrile seizure with focal features.The clinician will order an EEG to assess for epilepsy.The child will be referred to a neurologist for further evaluation and management.
Detailed description of the seizure event, including duration, characteristics (focal or generalized), and presence of any associated symptoms (e.g., altered consciousness, post-ictal confusion).Patient's medical history, including any previous seizure activity, family history of epilepsy, and current illnesses.Physical examination findings.Results of any diagnostic tests (e.g., EEG, brain MRI).Treatment provided.Follow-up plan.
** Complex febrile convulsions are a significant event and may warrant further investigation to determine the underlying cause.This code should be used cautiously and only when appropriate according to the ICD-10-CM guidelines.
- Specialties:Pediatrics, Neurology, Emergency Medicine
- Place of Service:Office, Emergency Room - Hospital, Inpatient Hospital