Hemiplegic migraine, not intractable
ICD-10 G43.40 is a billable code used to indicate a diagnosis of hemiplegic migraine, not intractable.
Hemiplegic migraine is a rare and severe form of migraine characterized by temporary paralysis or weakness on one side of the body, known as hemiplegia. This condition is often accompanied by typical migraine symptoms such as severe headache, nausea, vomiting, and sensitivity to light and sound. The hemiplegic symptoms can mimic those of a stroke, making it crucial for healthcare providers to differentiate between the two. Hemiplegic migraines can be triggered by various factors, including stress, hormonal changes, certain foods, and environmental stimuli. Unlike intractable hemiplegic migraines, which are resistant to treatment, the non-intractable variant allows for effective management through preventive treatments and acute interventions. Patients may benefit from lifestyle modifications, pharmacological therapies, and regular follow-ups to monitor the frequency and severity of attacks. Understanding the triggers and implementing preventive strategies can significantly improve the quality of life for individuals suffering from this debilitating condition.
Detailed neurological examination findings, patient history of migraines, and treatment responses.
Patients presenting with hemiplegic symptoms during a migraine attack, requiring differentiation from stroke.
Neurologists must ensure clear documentation of the migraine type and any neurological assessments performed.
Comprehensive patient history, including migraine triggers and previous treatments.
Patients with recurrent migraines presenting with new hemiplegic symptoms.
Primary care providers should be vigilant in recognizing hemiplegic migraines and refer to specialists as needed.
Used for follow-up visits for patients with hemiplegic migraines.
Document history of present illness, examination findings, and treatment plan.
Neurologists may require additional documentation of neurological assessments.
Hemiplegic migraine is characterized by temporary paralysis or weakness on one side of the body, which is not seen in typical migraines. It requires careful assessment to differentiate from stroke-like symptoms.
