Persistent migraine aura without cerebral infarction
ICD-10 G43.5 is a billable code used to indicate a diagnosis of persistent migraine aura without cerebral infarction.
Persistent migraine aura without cerebral infarction is characterized by recurrent episodes of neurological symptoms that resemble a migraine aura but last longer than the typical duration of a migraine aura, which is usually less than 60 minutes. Patients may experience visual disturbances, sensory changes, or speech difficulties that can persist for days or even weeks. Unlike typical migraine auras, these symptoms do not resolve within a 60-minute timeframe and are not associated with an acute cerebral infarction. The condition can significantly impact a patient's quality of life, leading to anxiety and depression due to the unpredictability and duration of symptoms. Diagnosis is primarily clinical, based on the patient's history and symptomatology, and it is crucial to rule out other neurological conditions that may present similarly. Management often involves preventive treatments and lifestyle modifications to reduce the frequency and severity of episodes.
Detailed neurological examination findings, patient history, and symptom duration.
Patients presenting with prolonged aura symptoms, requiring differentiation from other neurological conditions.
Ensure comprehensive documentation to support the diagnosis and exclude other conditions.
Thorough patient history and symptom description, including triggers and previous migraine episodes.
Patients with a history of migraines presenting with new or prolonged aura symptoms.
Consider referral to a neurologist for complex cases or when symptoms persist.
Used for follow-up visits for patients with persistent migraine aura.
Detailed history of symptoms, treatment response, and any changes in medication.
Neurologists may require additional documentation of neurological assessments.
G43.5 specifically refers to persistent aura symptoms lasting longer than 60 minutes without cerebral infarction, while other migraine codes may refer to typical auras or migraines without aura.
