Migraine with aura, intractable, without status migrainosus
ICD-10 G43.119 is a billable code used to indicate a diagnosis of migraine with aura, intractable, without status migrainosus.
Migraine with aura, intractable, without status migrainosus refers to a severe form of migraine characterized by the presence of neurological symptoms (aura) that precede or accompany the headache. This condition is classified as intractable, meaning it is resistant to standard treatment protocols and results in significant impairment in daily functioning. Patients may experience recurrent episodes of headache that can last from 4 to 72 hours, accompanied by symptoms such as visual disturbances, sensory changes, and speech difficulties. The absence of status migrainosus, which is defined as a migraine attack lasting longer than 72 hours, distinguishes this code from others related to prolonged migraine episodes. Triggers for these migraines can include stress, hormonal changes, 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.
Detailed patient history, including frequency and duration of migraines, aura symptoms, and response to treatments.
Patients presenting with recurrent migraines that do not respond to standard treatments, requiring advanced management strategies.
Neurologists must ensure comprehensive documentation of neurological assessments and treatment plans to support the diagnosis of intractable migraines.
Thorough documentation of patient-reported symptoms, triggers, and any prior treatments attempted.
Patients with a history of migraines presenting for management of intractable symptoms.
Primary care providers should be aware of the need for referrals to specialists when migraines are intractable.
Used for follow-up visits for patients with intractable migraines.
Document the patient's history, examination findings, and treatment response.
Neurologists may require more detailed neurological assessments.
Intractable migraines are those that do not respond to standard treatment protocols and result in significant impairment in daily functioning. They require more intensive management strategies.
