Migraine without aura, intractable, without status migrainosus
ICD-10 G43.019 is a billable code used to indicate a diagnosis of migraine without aura, intractable, without status migrainosus.
Migraine without aura, intractable, without status migrainosus refers to a severe form of migraine headache that occurs without the preceding neurological symptoms known as aura. This condition is characterized by recurrent headaches that are often debilitating and resistant to standard treatment protocols. Patients may experience intense, pulsating pain typically localized to one side of the head, accompanied by symptoms such as nausea, vomiting, and sensitivity to light and sound. The term 'intractable' indicates that the migraines are not adequately controlled by conventional therapies, necessitating a more aggressive treatment approach. Unlike status migrainosus, which is defined by a migraine attack lasting more than 72 hours, this code applies to patients who experience frequent, severe migraines that do not meet this criterion but still significantly impair their quality of life. Effective management often requires a combination of acute and preventive treatments, including lifestyle modifications, pharmacotherapy, and possibly alternative therapies.
Detailed headache diaries, treatment history, and response to medications.
Patients presenting with recurrent, severe headaches that do not respond to standard treatments.
Neurologists must document the specific characteristics of the migraine attacks and any associated symptoms.
Comprehensive patient history, including triggers and lifestyle factors.
Patients seeking management for chronic migraines and discussing preventive strategies.
Primary care providers should ensure thorough documentation of treatment plans and patient education.
Used for follow-up visits for migraine management.
Document the patient's migraine history, treatment response, and any changes in symptoms.
Neurologists may require more detailed documentation of neurological examinations.
Intractable migraines are those that do not respond to standard treatments and significantly impair the patient's quality of life, whereas regular migraines may be managed effectively with typical therapies.
