Migraine without aura, intractable
ICD-10 G43.01 is a billable code used to indicate a diagnosis of migraine without aura, intractable.
Migraine without aura, intractable, is characterized by recurrent headaches that are severe and debilitating, occurring without the presence of aura symptoms. These migraines are classified as intractable when they are resistant to standard treatment protocols, leading to significant impairment in daily functioning. Patients may experience episodes that last from 4 to 72 hours, often accompanied by nausea, vomiting, and sensitivity to light and sound. The intractable nature of these migraines can result in frequent emergency room visits and the need for advanced therapeutic interventions. Triggers for these migraines can include stress, hormonal changes, certain foods, and environmental factors. Effective management often requires a multidisciplinary approach, including pharmacological treatments, lifestyle modifications, and preventive therapies. Understanding the complexities of this condition is crucial for accurate coding and appropriate patient care.
Detailed history of headache frequency, duration, and severity; documentation of treatment response.
Patients presenting with chronic migraines unresponsive to standard therapies.
Neurologists must ensure comprehensive documentation to support the intractable designation.
Thorough patient history and documentation of lifestyle factors and triggers.
Patients with recurrent migraines seeking management strategies.
Primary care providers should document referrals to specialists when migraines are intractable.
Used for follow-up visits for patients with chronic intractable migraines.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require additional documentation of neurological assessments.
Intractable migraines are defined by their resistance to standard treatment protocols, leading to significant impairment in daily activities. This contrasts with episodic migraines, which may respond to typical treatments.
