Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
ICD-10 G43.609 is a billable code used to indicate a diagnosis of persistent migraine aura with cerebral infarction, not intractable, without status migrainosus.
Persistent migraine aura with cerebral infarction is a neurological condition characterized by the presence of prolonged aura symptoms that last longer than the typical duration of a migraine aura, which is usually less than 60 minutes. In this case, the aura is associated with cerebral infarction, indicating that there has been an ischemic event in the brain. Patients may experience visual disturbances, sensory changes, or speech difficulties that persist for more than an hour and may be accompanied by headache. This condition is classified as 'not intractable,' meaning that it is manageable and does not lead to continuous or severe migraine attacks. It is crucial to differentiate this condition from status migrainosus, which involves prolonged migraine attacks lasting more than 72 hours. The management of persistent migraine aura with cerebral infarction often involves addressing the underlying vascular risk factors and may include preventive treatments such as beta-blockers, anticonvulsants, or CGRP inhibitors, alongside lifestyle modifications to reduce triggers.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with prolonged aura symptoms and associated neurological deficits.
Ensure clear documentation of the duration and type of aura symptoms, as well as any imaging studies performed.
Comprehensive patient history, including headache frequency, triggers, and response to treatments.
Patients with a history of migraines presenting with new or worsening aura symptoms.
Document lifestyle factors and preventive measures taken to manage migraines.
Used for follow-up visits for patients with persistent migraine aura.
Document history of present illness, examination findings, and treatment plan.
Neurologists may require more detailed neurological assessments.
G43.609 refers to persistent migraine aura with cerebral infarction that is not intractable, while G43.001 refers to intractable migraine with aura. The key difference lies in the management and duration of symptoms.
