Migraine, unspecified, intractable, with status migrainosus
ICD-10 G43.911 is a billable code used to indicate a diagnosis of migraine, unspecified, intractable, with status migrainosus.
G43.911 refers to a specific type of migraine characterized as intractable, meaning it is resistant to treatment and significantly impairs the patient's quality of life. This condition is often associated with status migrainosus, a severe and prolonged migraine attack lasting more than 72 hours. Patients may experience debilitating headaches, nausea, vomiting, and sensitivity to light and sound. The intractable nature of this migraine type indicates that standard treatments, including abortive and preventive medications, have failed to provide relief. Triggers for these migraines can vary widely and may include stress, hormonal changes, certain foods, and environmental factors. Due to the complexity of managing intractable migraines, a multidisciplinary approach is often required, involving neurologists, pain specialists, and sometimes psychologists to address the multifaceted nature of the condition. Accurate diagnosis and coding are crucial for appropriate treatment and reimbursement, as well as for tracking the prevalence and impact of migraine disorders in the population.
Detailed history of migraine episodes, treatment responses, and any comorbid conditions.
Patients presenting with recurrent, severe migraines unresponsive to standard treatments.
Neurologists must document the specific criteria for intractability and status migrainosus.
Comprehensive pain assessments and treatment plans, including medication trials.
Patients seeking alternative therapies after failing traditional migraine treatments.
Pain specialists should document the multidisciplinary approach to managing intractable migraines.
Used for follow-up visits for migraine management.
Document the patient's history, examination findings, and treatment plan.
Neurologists should ensure comprehensive documentation of migraine history.
G43.911 specifically indicates an intractable migraine with status migrainosus, requiring detailed documentation of treatment failures and prolonged symptoms.
