Menstrual migraine, not intractable
ICD-10 G43.82 is a billable code used to indicate a diagnosis of menstrual migraine, not intractable.
Menstrual migraine is a type of migraine headache that is closely linked to the menstrual cycle. It typically occurs in women during the premenstrual phase or around the time of menstruation. These migraines can be triggered by hormonal fluctuations, particularly the drop in estrogen levels that occurs just before menstruation. Symptoms of menstrual migraine include moderate to severe headache, often unilateral, accompanied by nausea, vomiting, and sensitivity to light and sound. Unlike intractable migraines, which are resistant to treatment and occur frequently, menstrual migraines classified as 'not intractable' are manageable with appropriate interventions. Preventive treatments may include hormonal therapies, such as oral contraceptives, and lifestyle modifications to reduce triggers. Understanding the timing and nature of these migraines is crucial for effective management and treatment planning.
Detailed headache diaries, patient history, and treatment response.
Patients presenting with recurrent headaches linked to menstrual cycles.
Consideration of comorbid conditions such as depression or anxiety that may affect treatment.
Menstrual history, hormonal treatment records, and patient-reported outcomes.
Women experiencing migraines that correlate with menstrual cycles.
Understanding the impact of hormonal therapies on migraine frequency.
Used for follow-up visits for migraine management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological examinations.
Menstrual migraines are specifically linked to hormonal changes during the menstrual cycle, typically occurring in the luteal phase, while other migraines may not have such a clear trigger.
