Migraine without aura, intractable, with status migrainosus
ICD-10 G43.011 is a billable code used to indicate a diagnosis of migraine without aura, intractable, with status migrainosus.
Migraine without aura, intractable, with status migrainosus is a severe form of migraine characterized by prolonged headache episodes lasting more than 72 hours. Patients experience debilitating pain, often accompanied by nausea, vomiting, and sensitivity to light and sound. Unlike typical migraines, this condition does not present with aura, which are sensory disturbances that can precede a migraine attack. Intractable migraines are resistant to standard treatments, making management challenging. Status migrainosus is a particularly severe manifestation, where the headache persists despite treatment efforts, leading to significant impairment in daily functioning. This condition can be triggered by various factors, including stress, hormonal changes, certain foods, and environmental stimuli. Effective management often requires a multidisciplinary approach, including acute treatment for pain relief and preventive strategies to reduce the frequency and severity of attacks.
Detailed patient history, including headache frequency, duration, and response to treatments.
Patients presenting with chronic headaches unresponsive to standard migraine treatments.
Neurologists must document the intractable nature and any comorbid conditions affecting treatment.
Comprehensive records of patient symptoms, triggers, and treatment history.
Patients with recurrent migraines seeking management strategies.
Primary care providers should ensure referrals to specialists when migraines are intractable.
Used for follow-up visits for chronic migraine management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological examinations.
G43.011 specifically refers to intractable migraines without aura that have progressed to status migrainosus, requiring detailed documentation of treatment resistance and symptomatology.
