ICD-10 Codes for Migraine Headache

Migraine is a common headache disorder that affects people irrespective of age. Here are the ICD-10 codes for migraine headache.

Migraine is considered as the primary headache disorder. According to the World Health Organization (WHO), people experience migraine with the beginning of puberty. Many people in the age group 35 – 45 often experience migraine headaches. At the same time, children might experience migraine headaches as well but in a small number. Even though men and women experience migraine, women experience it more as they have hormonal influence. That is, almost three times more than men. About 12% of the U.S adult citizens are affected by migraine. Even though there is no particular treatment to cure this condition completely, physicians can provide treatment for suppressing pain. Physicians need to ensure accurate documentation for obtaining reimbursement for their services, and to ensure effective patient care. For this purpose, a pain management medical billing company can assist you efficiently.

Common symptoms of migraine include:

• Severe headache
• Headache with fever, stiff neck, seizures, double vision, weakness and so forth.
• Headache after a major or minor head injury
• New headache experience after age 50

Once a physician gets to know the real reason behind a headache, he/she might start treatment accordingly. In case of migraine, there are four stages — prodrome, aura, attack and post-drome. Everyone might not go through all these stages. As each stage has different ICD-10 codes, physicians as well as medical coders should be very careful when documenting migraine. Let’s check out the ICD-10 codes for migraine headaches.

The ICD-10 Codes for Migraine Headache

G43 Migraine

G43.0 Migraine without aura

• G43.00 Migraine without aura, not intractable
• G43.01 Migraine without aura, intractable

G43.1 Migraine with aura

• G43.10 Migraine with aura, not intractable
• G43.11 Migraine with aura, intractable

G43.4 Hemiplegic migraine

• G43.40 Hemiplegic migraine, not intractable
• G43.41 Hemiplegic migraine, intractable

G43.5 Persistent migraine aura without cerebral infarction

• G43.50 Persistent migraine aura without cerebral infarction, not intractable
• G43.51 Persistent migraine aura without cerebral infarction, intractable

G43.6 Persistent migraine aura with cerebral infarction

• G43.60 Persistent migraine aura with cerebral infarction, not intractable
• G43.61 Persistent migraine aura with cerebral infarction, intractable

G43.7 Chronic migraine without aura

• G43.70 Chronic migraine without aura, not intractable
• G43.71 Chronic migraine without aura, intractable

G43.A Cyclical vomiting

• G43.A0 …… in migraine, not intractable
• G43.A1 …… in migraine, intractable

G43.B Ophthalmoplegic migraine

• G43.B0 …… not intractable
• G43.B1 …… intractable

G43.C Periodic headache syndromes in child or adult

• G43.C0 …… not intractable
• G43.C1 …… intractable

G43.D Abdominal migraine

• G43.D0 …… not intractable
• G43.D1 …… intractable

G43.8 Other migraine

• G43.80 Other migraine, not intractable
• G43.81 Other migraine, intractable
• G43.82 Menstrual migraine, not intractable
• G43.83 Menstrual migraine, intractable

G43.9 Migraine, unspecified

• G43.90 Migraine, unspecified, not intractable
• G43.91 Migraine, unspecified, intractable

Migraine is not an uncommon condition these days. There are factors that lead to this condition. Certain factors include:

• Hormonal change in women
• Drinks
• Stress
• Changes in the pattern of sleep
• Changes in weather
• Certain medications
• Certain physical factors
• Certain food additives
• Dehydration

The clinical documents prepared by the physician should contain certain information about the patient such as his/her health condition, family medical history, patient’s medical history, treatments and medicines prescribed, suggested diagnosing method and so on. This would help medical coders to prepare accurate claim submission records. Accurate clinical documentation is necessary for physicians for treating their patients appropriately.

A reputable medical billing and coding outsourcing company will have a team of experienced medical coders who are well-versed in preparing claim submission documents precisely and in a timely manner.

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