Migraine with aura, intractable
ICD-10 G43.11 is a billable code used to indicate a diagnosis of migraine with aura, intractable.
Migraine with aura, intractable, is a severe form of migraine characterized by the presence of neurological symptoms (aura) that precede or accompany the headache phase. These auras can manifest as visual disturbances, sensory changes, or speech difficulties, typically lasting from 5 to 60 minutes. Intractable migraines are those that do not respond to standard treatment protocols, leading to significant disability and a reduced quality of life. Patients may experience frequent attacks, often requiring emergency care or hospitalization. The pathophysiology involves complex neurovascular mechanisms, including cortical spreading depression and trigeminovascular activation. Triggers for these migraines can include hormonal changes, stress, certain foods, and environmental factors. Preventive treatments may involve medications such as beta-blockers, anticonvulsants, or CGRP inhibitors, and lifestyle modifications to reduce the frequency and severity of attacks. Accurate diagnosis and coding are crucial for effective management and reimbursement.
Detailed history of migraine episodes, including frequency, duration, and response to treatments.
Patients presenting with recurrent migraines that do not respond to standard therapies.
Neurologists must document the specific characteristics of the aura and the impact on the patient's life.
Comprehensive patient history and any referrals to specialists.
Patients with chronic headaches seeking management options.
Primary care providers should ensure thorough documentation of treatment trials and patient education.
Used for follow-up visits for migraine management.
Document history, examination findings, and treatment plan.
Neurologists may require more detailed neurological examinations.
An intractable migraine is defined as one that does not respond to standard treatment protocols, leading to frequent and debilitating episodes that significantly impair daily functioning.
