Chronic migraine without aura, intractable, without status migrainosus
ICD-10 G43.719 is a billable code used to indicate a diagnosis of chronic migraine without aura, intractable, without status migrainosus.
Chronic migraine without aura, intractable, without 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. Unlike migraines with aura, patients do not experience neurological symptoms such as visual disturbances or sensory changes prior to the headache. The intractable nature of this condition indicates that the migraines are resistant to standard treatments, leading to significant impairment in daily functioning. Patients may experience severe, debilitating pain, often accompanied by nausea, vomiting, and sensitivity to light and sound. Triggers for chronic migraines can include stress, hormonal changes, certain foods, sleep disturbances, and environmental factors. Preventive treatments may involve medications such as beta-blockers, anticonvulsants, or antidepressants, as well as lifestyle modifications to reduce trigger exposure. Accurate diagnosis and management are crucial for improving patient quality of life and reducing the frequency and severity of migraine attacks.
Detailed headache diaries, treatment history, and response to therapies.
Patients presenting with frequent headaches that do not respond to standard migraine treatments.
Neurologists must document the intractable nature of migraines and any comorbid conditions.
Comprehensive patient history, including lifestyle factors and trigger identification.
Patients with chronic headaches seeking management strategies.
Primary care providers should ensure thorough documentation of treatment plans and patient education.
Used for follow-up visits to manage chronic migraine treatment plans.
Document patient history, treatment response, and any changes in symptoms.
Neurologists may require more detailed documentation compared to primary care providers.
Chronic migraine without aura is defined by the frequency of headaches occurring 15 or more days per month, with at least 8 days meeting the criteria for migraine, and the absence of aura symptoms that typically precede some migraines.
