Complex febrile convulsions
ICD-10 R56.01 is a billable code used to indicate a diagnosis of complex febrile convulsions.
Complex febrile convulsions are seizures that occur in children, typically between the ages of 6 months and 5 years, in the context of fever. Unlike simple febrile convulsions, which are brief and generalized, complex febrile convulsions last longer than 15 minutes, may be focal, and can recur within a 24-hour period. Symptoms may include loss of consciousness, jerking movements, and postictal confusion. These convulsions can be alarming for caregivers and may require immediate medical evaluation to rule out underlying conditions such as meningitis or intracranial hemorrhage. Laboratory findings may include elevated white blood cell counts if an infection is present, and imaging studies may be warranted to assess for structural abnormalities. Accurate diagnosis and management are crucial to prevent complications and ensure appropriate follow-up care.
Detailed history of fever, seizure characteristics, and any neurological examination findings.
Children presenting with fever and seizures in a primary care setting.
Consideration of other potential causes of fever and seizures, such as infections or metabolic disturbances.
Acute care documentation including vital signs, seizure duration, and immediate interventions.
Children brought to the emergency department with seizures and fever.
Rapid assessment for serious underlying conditions such as meningitis or encephalitis.
Used when a child presents with complex febrile convulsions requiring emergency evaluation.
Document the severity of the condition, interventions performed, and patient response.
Emergency medicine providers should ensure thorough documentation of the acute presentation.
Complex febrile convulsions last longer than 15 minutes, may be focal, and can recur within 24 hours, whereas simple febrile convulsions are brief and generalized.
