Migraine with aura, intractable, with status migrainosus
ICD-10 G43.111 is a billable code used to indicate a diagnosis of migraine with aura, intractable, with status migrainosus.
Migraine with aura, intractable, with status migrainosus is a severe form of migraine characterized by the presence of aura symptoms that precede or accompany the headache phase. Aura symptoms can include visual disturbances, sensory changes, and motor deficits. This condition is classified as intractable when it does not respond to standard acute treatments and can lead to status migrainosus, a debilitating state where the migraine lasts for more than 72 hours. Patients may experience significant functional impairment, requiring urgent medical intervention. The intractable nature of this migraine type often necessitates a multidisciplinary approach for management, including pharmacological treatments such as triptans, antiemetics, and preventive therapies like beta-blockers or anticonvulsants. Understanding triggers, which can include stress, hormonal changes, certain foods, and environmental factors, is crucial for effective management and prevention of future episodes.
Detailed history of migraine episodes, including frequency, duration, and associated symptoms.
Patients presenting with recurrent migraines that do not respond to standard treatments.
Neurologists must document the specific aura symptoms and any neurological deficits to support the diagnosis.
Comprehensive patient history and documentation of lifestyle factors and triggers.
Patients seeking management for chronic migraines with aura.
Primary care providers should ensure thorough documentation of treatment history and response to therapies.
Used for follow-up visits for migraine management.
Document the patient's history, treatment response, and any new symptoms.
Neurologists may require more detailed neurological examinations.
G43.111 specifically refers to migraines with aura that are intractable and lead to status migrainosus, requiring detailed documentation of symptoms and treatment history.
