Hemiplegic migraine, not intractable, without status migrainosus
ICD-10 G43.409 is a billable code used to indicate a diagnosis of hemiplegic migraine, not intractable, without status migrainosus.
Hemiplegic migraine is a rare and severe form of migraine characterized by temporary paralysis or weakness on one side of the body, known as hemiplegia. This condition can be triggered by various factors, including stress, hormonal changes, certain foods, and environmental stimuli. Unlike typical migraines, hemiplegic migraines can present with neurological symptoms such as confusion, difficulty speaking, and visual disturbances. The 'not intractable' designation indicates that the episodes are manageable and do not persist despite treatment. Importantly, this code specifies that the patient is not experiencing status migrainosus, a condition where a migraine lasts for more than 72 hours. Diagnosis typically involves a thorough clinical history, neurological examination, and may include imaging studies to rule out other causes of hemiplegia. Treatment focuses on acute management of symptoms and preventive strategies to reduce the frequency and severity of attacks.
Detailed neurological examination findings, patient history of migraine episodes, and any imaging results.
Patients presenting with sudden onset of weakness, confusion, or visual disturbances alongside migraine symptoms.
Neurologists must ensure that all neurological symptoms are documented to support the diagnosis of hemiplegic migraine.
Comprehensive patient history, including migraine triggers and response to previous treatments.
Patients with recurrent migraines who report new neurological symptoms.
Primary care providers should be aware of the need for referral to a neurologist for complex cases.
Used for follow-up visits for migraine management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require additional documentation of neurological assessments.
Hemiplegic migraine is characterized by temporary paralysis or weakness on one side of the body, which is not typical in other migraine types. It also involves specific genetic factors and requires careful documentation of neurological symptoms.
