Other migraine, intractable, without status migrainosus
ICD-10 G43.819 is a billable code used to indicate a diagnosis of other migraine, intractable, without status migrainosus.
G43.819 refers to a specific type of migraine that is classified as intractable, meaning it is resistant to treatment and does not respond to standard migraine therapies. Patients with this condition experience severe headache episodes that can significantly impair their daily functioning. Unlike status migrainosus, which is characterized by a migraine attack lasting more than 72 hours, G43.819 indicates that the patient does not meet this criterion but still suffers from debilitating migraine attacks that are difficult to manage. The intractable nature of these migraines often leads to increased healthcare utilization, including frequent emergency room visits and consultations with headache specialists. Triggers for these migraines can vary widely and may include stress, hormonal changes, dietary factors, and environmental stimuli. Preventive treatments may involve a combination of lifestyle modifications, pharmacotherapy, and alternative therapies aimed at reducing the frequency and severity of migraine attacks. Accurate coding of this condition is essential for appropriate treatment planning and reimbursement.
Detailed history of migraine episodes, treatment history, and response to therapies.
Patients presenting with frequent, severe migraines that do not respond to standard treatments.
Neurologists should document all treatment modalities attempted, including preventive and abortive therapies.
Comprehensive patient history, including lifestyle factors and potential triggers.
Patients with recurrent migraines seeking management strategies.
Primary care providers should ensure thorough documentation of referrals to specialists and treatment plans.
Used for follow-up visits for patients with intractable migraines.
Documentation must include history of present illness, review of systems, and treatment plan.
Neurologists may require additional documentation of neurological examinations.
G43.819 specifically refers to intractable migraines that do not meet the criteria for status migrainosus, requiring detailed documentation of treatment history and patient response.
