Persistent migraine aura with cerebral infarction, intractable, without status migrainosus
ICD-10 G43.619 is a billable code used to indicate a diagnosis of persistent migraine aura with cerebral infarction, intractable, without status migrainosus.
Persistent migraine aura with cerebral infarction is a rare but serious condition characterized by prolonged neurological symptoms that resemble a migraine aura, such as visual disturbances, sensory changes, or speech difficulties, which persist for more than one week. Intractable cases indicate that the symptoms are resistant to standard treatments and significantly impair the patient's quality of life. The presence of cerebral infarction suggests that there has been an ischemic event in the brain, which may complicate the clinical picture. This condition requires careful management to prevent further neurological damage and to address the underlying migraine disorder. Patients may experience recurrent episodes of aura without the headache phase typical of migraines, and the intractable nature of the symptoms necessitates a multidisciplinary approach to treatment, including preventive therapies and possibly acute interventions.
Detailed neurological examination findings, imaging results, and treatment history.
Patients presenting with prolonged aura symptoms, recurrent migraines, or new neurological deficits.
Ensure comprehensive documentation of all neurological assessments and treatment responses.
Records of pain management strategies, response to treatments, and patient-reported outcomes.
Patients with chronic migraine and persistent aura seeking pain relief.
Document the multidisciplinary approach to managing intractable symptoms.
Used for follow-up visits for patients with persistent migraine aura.
Document the patient's history, examination findings, and treatment plan.
Neurologists should ensure detailed neurological assessments are included.
G43.619 specifically refers to cases with persistent aura and cerebral infarction, indicating a more severe and complex clinical picture than other migraine codes.
