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Home/Diagnosis/ICD-10 Coding for Complex Migraine

ICD-10 Coding for Complex Migraine

G43.E11
G43.619

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

Also Known as:
Migraine with Aura
Chronic Migraine
Intractable Migraine
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Key Information: ICD-10 Coding for Complex Migraine

Essential facts and insights about ICD-10 Coding for Complex Migraine

Use ICD-10 code G43.E11 for chronic migraine with aura, intractable, with status migrainosus, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chronic migraine with aura, intractable, with status migrainosus

Billable Code
G43.E11
Billable

Diagnostic Criteria

clinical:
  • • Presence of aura and chronicity
documentation:
  • • Detailed headache diary and treatment history

Applicable To

  • • Chronic migraine with aura
  • • Intractable migraine

Important Notes

  • • Ensure documentation specifies aura type and treatment failures.

Persistent migraine aura with cerebral infarction, intractable

Billable Code
G43.619
Billable

Diagnostic Criteria

clinical:
    documentation:

      Applicable To

      • • Migraine-induced stroke

      Important Notes

      • • Always sequence cerebral infarction first.
      Ancillary Codes

      Additional codes that may be used with this diagnosis

      R51.9

      Use for general headache symptoms not specified as migraine.

      Headache

      I63.9

      Use to specify the infarction associated with the migraine.

      Cerebral infarction

      Frequently Asked Questions

      What is the ICD-10 code for complex migraine?

      The ICD-10 code for complex migraine with aura and intractability is G43.E11. This code is used when the migraine is chronic, includes an aura, and is resistant to treatment.

      How do you document a complex migraine?

      Document the frequency of headaches, aura type, and treatment failures. Use specific phrases like '18 headache days/month' and list all failed therapies.

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