Hemiplegic migraine, intractable, with status migrainosus
ICD-10 G43.411 is a billable code used to indicate a diagnosis of hemiplegic migraine, 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 (hemiplegia) that can occur before, during, or after a migraine attack. The intractable nature of this condition indicates that the migraine is resistant to standard treatments and persists for an extended period, often leading to status migrainosus, a debilitating condition where a migraine lasts longer than 72 hours. Patients may experience aura symptoms, including visual disturbances, sensory changes, and motor weakness. The pathophysiology involves complex neurovascular mechanisms, including cortical spreading depression and alterations in cerebral blood flow. Triggers 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, response to treatments, and associated symptoms.
Patients presenting with recurrent severe migraines, neurological deficits, or prolonged migraine episodes.
Neurologists must document the neurological examination findings and any imaging studies performed.
Comprehensive pain assessments, treatment plans, and response to interventions.
Patients with chronic migraine requiring multimodal pain management strategies.
Pain specialists should document the effectiveness of various pain management techniques and any side effects experienced by the patient.
Used for follow-up visits for patients with chronic migraines.
Document the patient's history, examination findings, and treatment plan.
Neurologists should ensure detailed documentation of neurological assessments.
Hemiplegic migraine is characterized by temporary paralysis or weakness on one side of the body, which is not seen in other migraine types. It also has a genetic component and can be more severe and prolonged.
