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Home/Diagnosis/ICD-10 Coding for Chronic Migraine Headache

ICD-10 Coding for Chronic Migraine Headache

G43.709
G43.E11

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic migraine headache includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Chronic Migraine
Chronic Migraine Headaches
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Key Information: ICD-10 Coding for Chronic Migraine Headache

Essential facts and insights about ICD-10 Coding for Chronic Migraine Headache

Use ICD-10 code G43.709 for chronic migraine without aura, not intractable, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic migraine without aura, not intractable

Billable Code
G43.709
Billable

Diagnostic Criteria

  • • Patient reports ≥15 headache days/month without aura symptoms.

Applicable To

  • • Chronic migraine without aura

Important Notes

  • • Ensure documentation specifies the absence of aura to use this code.

Chronic migraine with aura, intractable

Billable Code
G43.E11
Billable

Diagnostic Criteria

  • • Headaches occurring ≥15 days/month for ≥3 consecutive months
  • • Documented aura symptoms
  • • Intractable to at least two prophylactic treatments

Applicable To

  • • Chronic migraine with aura

Important Notes

  • • Ensure documentation includes aura symptoms and treatment resistance.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z79.83

Long-term use of migraine prophylaxis

Use when documenting ongoing prophylactic treatment for chronic migraine.

Frequently Asked Questions

What is the ICD-10 code for chronic migraine with aura?

The ICD-10 code for chronic migraine with aura is G43.E11, used when aura symptoms are documented and the condition is intractable.

How is chronic migraine documented?

Chronic migraine is documented by noting headache frequency (≥15 days/month), aura presence, and treatment history, including failed prophylactics.

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