Menstrual migraine, intractable
ICD-10 G43.83 is a billable code used to indicate a diagnosis of menstrual migraine, intractable.
Menstrual migraine, classified under the ICD-10 code G43.83, refers to a specific type of migraine that is closely linked to the menstrual cycle. These migraines typically occur in a predictable pattern, often starting a few days before menstruation and resolving shortly after the onset of menses. Intractable menstrual migraines are characterized by their resistance to standard treatment protocols, leading to significant disability and a reduced quality of life for affected individuals. The pathophysiology involves hormonal fluctuations, particularly estrogen, which can trigger migraine episodes. Patients may experience severe, unilateral headaches accompanied by nausea, vomiting, and sensitivity to light and sound. Identifying triggers such as stress, dietary factors, and sleep disturbances is crucial for management. Preventive treatments may include hormonal therapies, triptans, and lifestyle modifications aimed at reducing the frequency and severity of attacks. Accurate diagnosis and coding are essential for effective treatment and reimbursement.
Detailed patient history, including migraine frequency, duration, and associated symptoms.
Patients presenting with recurrent headaches linked to menstrual cycles, requiring evaluation of treatment efficacy.
Consideration of hormonal therapies and their potential side effects in treatment plans.
Documentation of menstrual history and any hormonal treatments prescribed.
Women experiencing migraines that coincide with their menstrual cycle, requiring a multidisciplinary approach.
Coordination with neurologists for comprehensive management of menstrual migraines.
Used for follow-up visits for patients with menstrual migraines.
Document the patient's history, current symptoms, and treatment response.
Neurologists should ensure comprehensive migraine management plans are documented.
Menstrual migraines are specifically linked to hormonal changes during the menstrual cycle, typically occurring in the luteal phase, whereas other migraines may not have a clear hormonal trigger.
