Hemiplegic migraine, not intractable, with status migrainosus
ICD-10 G43.401 is a billable code used to indicate a diagnosis of hemiplegic migraine, not intractable, with status migrainosus.
Hemiplegic migraine is a rare and severe form of migraine characterized by temporary paralysis or weakness on one side of the body, often accompanied by aura symptoms such as visual disturbances or sensory changes. The term 'not intractable' indicates that the migraine episodes are manageable and do not persist despite treatment. Status migrainosus refers to a debilitating migraine attack that lasts longer than 72 hours, significantly impacting the patient's quality of life. Patients may experience severe headache, nausea, vomiting, and sensitivity to light and sound. Triggers for hemiplegic migraines can include stress, hormonal changes, certain foods, and environmental factors. Preventive treatments may involve medications such as beta-blockers, anticonvulsants, or CGRP inhibitors, tailored to the individual’s specific triggers and response to therapy. Accurate diagnosis and coding are essential for effective management and reimbursement.
Comprehensive neurological examination findings, detailed patient history, and treatment response.
Patients presenting with recurrent hemiplegic migraines, status migrainosus, or atypical migraine presentations.
Neurologists should ensure that all symptoms, triggers, and treatment responses are well-documented to support the diagnosis.
Thorough history of headache patterns, triggers, and response to initial treatments.
Patients with a history of migraines presenting with new or worsening symptoms.
Primary care providers should refer to specialists when symptoms suggest hemiplegic migraines.
Used for follow-up visits for migraine management.
Document history, examination, and medical decision-making.
Neurologists may require more detailed documentation of neurological findings.
Hemiplegic migraine is characterized by temporary unilateral weakness or paralysis, which is not typical in other migraine types. It may also present with aura symptoms and requires careful documentation to differentiate it from other neurological conditions.
