Migraine, unspecified, intractable
ICD-10 G43.91 is a billable code used to indicate a diagnosis of migraine, unspecified, intractable.
Migraine, unspecified, intractable (G43.91) refers to a severe form of migraine headache that is resistant to standard treatment protocols. Patients with intractable migraines experience frequent and debilitating headache episodes that do not respond to typical abortive or preventive therapies. These migraines can significantly impair daily functioning and quality of life. The condition is characterized by recurrent headaches that may be unilateral or bilateral, often accompanied by nausea, vomiting, photophobia, and phonophobia. Triggers for these migraines can vary widely and may include stress, hormonal changes, certain foods, environmental factors, and sleep disturbances. Due to the complexity of managing intractable migraines, a multidisciplinary approach involving neurologists, pain specialists, and primary care providers is often necessary. Preventive treatments may include medications such as beta-blockers, anticonvulsants, and antidepressants, as well as lifestyle modifications and alternative therapies. Accurate diagnosis and coding are crucial for effective treatment planning and insurance reimbursement.
Detailed patient history, including headache frequency, duration, and response to treatments.
Patients presenting with chronic migraines that have not responded to standard therapies.
Documentation should include any comorbid conditions and the impact of migraines on daily activities.
Comprehensive pain assessments and treatment plans, including non-pharmacological interventions.
Patients requiring advanced pain management techniques for intractable migraines.
Consideration of multidisciplinary approaches and alternative therapies.
Used for follow-up visits for migraine management.
Document the patient's headache frequency, severity, and response to treatment.
Neurologists may require additional neurological assessments.
An intractable migraine is defined as one that does not respond to standard treatment protocols, resulting in frequent and debilitating headache episodes that significantly impair daily functioning.
