Migraine, unspecified, intractable, without status migrainosus
ICD-10 G43.919 is a billable code used to indicate a diagnosis of migraine, unspecified, intractable, without status migrainosus.
Migraine is a common and debilitating headache disorder characterized by recurrent episodes of moderate to severe headache, often accompanied by nausea, vomiting, and sensitivity to light and sound. The term 'intractable' indicates that the migraine is resistant to standard treatment protocols, leading to significant impairment in daily functioning. Patients may experience frequent attacks that do not respond to typical abortive treatments, necessitating a more aggressive management approach. This code is used when the specific type of migraine is not defined, and the patient does not exhibit status migrainosus, a severe form of migraine lasting more than 72 hours. Triggers for migraines can vary widely and may 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 alternative therapies. Accurate coding is essential for appropriate treatment planning and insurance reimbursement.
Detailed patient history, including frequency, duration, and severity of migraines, as well as response to treatments.
Patients presenting with frequent migraines that do not respond to standard treatments.
Neurologists should document all treatment attempts and patient responses to justify the use of this code.
Comprehensive records of patient symptoms, triggers, and treatment history.
Patients with recurrent headaches seeking management options.
Primary care providers should ensure thorough documentation to support the diagnosis of intractable migraines.
Used for follow-up visits to manage migraine treatment.
Document patient history, treatment response, and any changes in symptoms.
Neurologists may require more detailed documentation compared to primary care providers.
Intractable migraines are those that do not respond to standard treatment options, leading to frequent and debilitating episodes that significantly impact a patient's quality of life.
