Other migraine, not intractable, with status migrainosus
ICD-10 G43.801 is a billable code used to indicate a diagnosis of other migraine, not intractable, with status migrainosus.
G43.801 refers to a specific type of migraine that is characterized by prolonged migraine attacks lasting more than 72 hours, known as status migrainosus. This condition is not classified as intractable, meaning it is not resistant to treatment. Patients may experience severe, unilateral or bilateral headache, often accompanied by nausea, vomiting, photophobia, and phonophobia. The diagnosis of status migrainosus requires careful clinical evaluation to differentiate it from other headache disorders. Triggers for these migraines can include stress, hormonal changes, certain foods, and environmental factors. Preventive treatments may involve lifestyle modifications, pharmacological interventions such as beta-blockers, anticonvulsants, or antidepressants, and the use of CGRP inhibitors. Accurate coding is essential for appropriate management and reimbursement, as it reflects the severity and complexity of the patient's condition.
Detailed patient history, including frequency, duration, and characteristics of migraines, as well as response to treatments.
Patients presenting with recurrent migraines, status migrainosus, or those requiring preventive therapy.
Neurologists should ensure comprehensive documentation of all migraine episodes and treatments to support coding.
Documentation of patient-reported symptoms, triggers, and any prescribed preventive medications.
Patients with episodic migraines seeking management or those with chronic migraines requiring referral to a specialist.
Primary care providers should document any lifestyle factors and patient education provided regarding migraine management.
Used for follow-up visits for migraine management.
Document history of present illness, examination findings, and treatment plan.
Neurologists may require more detailed documentation compared to primary care providers.
G43.801 is specifically for other migraines that are not intractable and are characterized by status migrainosus, while G43.009 is used for unspecified migraines that do not meet the criteria for other specific types.
