Chronic migraine without aura, intractable
ICD-10 G43.71 is a billable code used to indicate a diagnosis of chronic migraine without aura, intractable.
Chronic migraine without aura, intractable, is characterized by the occurrence of migraine headaches on 15 or more days per month, with at least 8 of those days meeting the criteria for migraine. These migraines can be debilitating and resistant to standard treatments, leading to significant impairment in daily functioning. Patients may experience a range of symptoms including unilateral throbbing pain, nausea, vomiting, and sensitivity to light and sound. The intractable nature of this condition indicates that typical abortive treatments have failed, necessitating a more aggressive approach to management. Chronic migraines can be triggered by various factors such as stress, hormonal changes, dietary components, and environmental stimuli. Preventive treatments may include medications such as beta-blockers, anticonvulsants, and CGRP inhibitors, along with lifestyle modifications to reduce the frequency and severity of attacks. Accurate diagnosis and coding are crucial for effective treatment and management of this complex condition.
Detailed headache diaries, treatment response records, and comprehensive neurological evaluations.
Patients presenting with frequent headaches, failed treatments, and significant lifestyle impact.
Ensure clear documentation of intractability and any comorbid conditions affecting treatment.
Thorough history of headache patterns, triggers, and previous treatments.
Patients seeking management for chronic headaches with varying severity.
Document lifestyle factors and referrals to specialists when necessary.
Used for follow-up visits for chronic migraine management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological assessments.
Chronic migraine without aura occurs on 15 or more days per month, while episodic migraine occurs less frequently. The chronic form is often more resistant to treatment.
