Chronic migraine without aura, intractable, with status migrainosus
ICD-10 G43.711 is a billable code used to indicate a diagnosis of chronic migraine without aura, intractable, with status migrainosus.
Chronic migraine without aura, intractable, with status migrainosus 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. This condition is particularly severe and persistent, often leading to debilitating pain that can last for days or even weeks. Status migrainosus refers to a prolonged migraine attack that lasts longer than 72 hours, which can result in 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 it does not respond well to standard migraine treatments, necessitating more aggressive management strategies. Chronic migraines can be triggered by various factors such as stress, hormonal changes, dietary habits, and environmental stimuli. Effective management often requires a multidisciplinary approach, including preventive treatments, lifestyle modifications, and acute care strategies.
Detailed headache diaries, treatment history, and response to therapies.
Patients presenting with frequent headaches, failed treatments, and requiring advanced management.
Neurologists must document the severity and impact of migraines on daily life to justify the use of this code.
Comprehensive patient history, including lifestyle factors and previous treatments.
Patients with chronic headaches seeking management options or referrals to specialists.
Primary care providers should be aware of the need for referrals to specialists for intractable cases.
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 documentation of neurological examinations.
Chronic migraine is defined by the occurrence of headache on 15 or more days per month, with at least 8 days meeting the criteria for migraine, whereas episodic migraine occurs less frequently.
