Menstrual migraine, intractable, with status migrainosus
ICD-10 G43.831 is a billable code used to indicate a diagnosis of menstrual migraine, intractable, with status migrainosus.
Menstrual migraine is a type of migraine that is closely linked to the menstrual cycle, typically occurring in women during the premenstrual phase or around the onset of menstruation. Intractable menstrual migraine refers to migraines that are resistant to standard treatment protocols and can lead to prolonged episodes of severe headache, known as status migrainosus, which lasts for more than 72 hours. This condition can significantly impact a patient's quality of life, leading to missed workdays and decreased productivity. The pathophysiology involves hormonal fluctuations, particularly estrogen, which can trigger migraine attacks. Patients may experience a range of symptoms including unilateral throbbing pain, nausea, vomiting, and sensitivity to light and sound. Effective management often requires a combination of acute treatments to relieve symptoms and preventive strategies to reduce the frequency and severity of attacks. Understanding triggers, such as stress, dietary factors, and hormonal changes, is crucial for effective management.
Detailed headache diaries, treatment response records, and menstrual cycle logs.
Patients presenting with recurrent headaches that coincide with menstrual cycles, requiring evaluation of treatment efficacy.
Neurologists must ensure comprehensive documentation of all migraine characteristics and treatment history.
Menstrual history, hormonal treatment records, and any relevant gynecological evaluations.
Women experiencing severe migraines linked to hormonal changes, often requiring multidisciplinary management.
Gynecologists should document the relationship between hormonal fluctuations and migraine occurrences.
Used for follow-up visits to manage menstrual migraines.
Document history of present illness, review of systems, and treatment plan.
Neurologists should ensure comprehensive migraine history is included.
G43.831 specifically refers to menstrual migraines that are intractable and associated with status migrainosus, requiring detailed documentation of menstrual cycles and treatment history.
