Convulsions of newborn

This code signifies the occurrence of seizure-like activity in a neonate, typically within the first 28 days of life, that is not otherwise specified as a more definitive seizure disorder. These convulsions are involuntary muscle contractions or spasms that can manifest in various forms, indicating an underlying neurological disturbance.

Assign this code when documentation clearly indicates a newborn experienced convulsions, and a more specific diagnosis for the seizure etiology (e.g., hypoxic-ischemic encephalopathy, metabolic disorder, infection) is not yet established or is ruled out. This code is appropriate for initial presentations of neonatal seizures where the precise cause remains undetermined.

• Do not use this code if the documentation specifies benign myoclonic epilepsy in infancy or benign neonatal convulsions (familial), as these are Excludes1 conditions.
• Always review the medical record for any underlying cause or more specific type of seizure disorder in the newborn; if identified, code the specific condition instead.
• This code is often a temporary diagnosis while further diagnostic workup is underway to determine the definitive etiology of the neonatal seizures.