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Home/Diagnosis/ICD-10 Coding for Chronic Migraine Without Aura

ICD-10 Coding for Chronic Migraine Without Aura

G43.701
G43.709
G43.719

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chronic migraine without aura includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Chronic Migraine
Migraine Without Aura
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Key Information: ICD-10 Coding for Chronic Migraine Without Aura

Essential facts and insights about ICD-10 Coding for Chronic Migraine Without Aura

Use ICD-10 code G43.701 for chronic migraine without aura, not intractable, with status migrainosus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic migraine without aura, not intractable, with status migrainosus

Billable Code
G43.701
Billable

Diagnostic Criteria

clinical:
  • • Patient has ≥15 headache days/month for 3 months.
documentation:
  • • Status migrainosus documented as lasting more than 72 hours.

Applicable To

  • • Chronic migraine without aura with prolonged migraine attack

Important Notes

  • • Ensure documentation specifies the absence of aura and the presence of status migrainosus.

Chronic migraine without aura, not intractable, without status migrainosus

Billable Code
G43.709
Billable

Diagnostic Criteria

clinical:
  • • 15+ headache days/month for 4 months
  • • Responds to sumatriptan

Applicable To

  • • Chronic migraine without aura, responsive to treatment

Important Notes

  • • Document the absence of intractability and status migrainosus.

Chronic migraine without aura, intractable, without status migrainosus

Billable Code
G43.719
Billable

Diagnostic Criteria

clinical:
  • • Failed 3+ preventive therapies (topiramate, propranolol, CGRP mAb)
  • • ER visit 2x/month

Applicable To

  • • Chronic migraine without aura, resistant to treatment

Important Notes

  • • Document intractability and absence of status migrainosus.

Chronic migraine without aura, intractable, with status migrainosus

Non-Billable
G43.729
Non-Billable

Diagnostic Criteria

clinical:
  • • 72-hour refractory headache
  • • Failed IV valproate/steroids

Applicable To

  • • Chronic migraine without aura with prolonged migraine attack, resistant to treatment

Important Notes

  • • Document intractability and status migrainosus.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z86.603

Personal history of other diseases of the nervous system

Use if there is a history of migraines but no current active condition.

M54.2

Cervicalgia

Use if neck pain is a component of the headache.

Frequently Asked Questions

What is the ICD-10 code for chronic migraine without aura?

The ICD-10 code for chronic migraine without aura is in the G43.7 series, including specific codes like G43.701 and G43.719.

How is chronic migraine without aura documented?

Document chronic migraine without aura by specifying headache frequency, treatment history, and absence of aura symptoms.

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