Menstrual migraine, not intractable, with status migrainosus
ICD-10 G43.821 is a billable code used to indicate a diagnosis of menstrual migraine, not intractable, with status migrainosus.
Menstrual migraine is a subtype of migraine that is closely linked to the menstrual cycle, typically occurring in relation to hormonal fluctuations. This condition is characterized by recurrent headaches that can be moderate to severe in intensity and are often unilateral. The term 'not intractable' indicates that the migraines are manageable and do not persist for an extended period without relief. Status migrainosus refers to a severe migraine attack that lasts longer than 72 hours, which can significantly impair daily functioning. Patients may experience symptoms such as nausea, vomiting, photophobia, and phonophobia during these episodes. The diagnosis requires a thorough clinical history and may involve tracking headache patterns in relation to the menstrual cycle. Effective management often includes both acute treatments for migraine attacks and preventive strategies aimed at reducing the frequency and severity of episodes, particularly around the time of menstruation.
Detailed headache diaries, hormonal history, and response to treatments.
Patients presenting with recurrent headaches linked to menstrual cycles, requiring both acute and preventive treatment plans.
Neurologists must ensure comprehensive documentation of headache characteristics and menstrual history to support the diagnosis.
Menstrual history, hormonal treatments, and any related gynecological conditions.
Women experiencing migraines that correlate with their menstrual cycle, often requiring interdisciplinary management.
Gynecologists should document any hormonal therapies that may influence migraine patterns.
Used for follow-up visits for migraine management.
Document the patient's headache history, treatment response, and any changes in symptoms.
Neurologists should ensure thorough documentation of headache characteristics.
Menstrual migraines are specifically linked to hormonal changes during the menstrual cycle, whereas other types may not have such a clear trigger. They often occur in a predictable pattern related to menstruation.
