My head is going to explode. This is seriously epic, end of the world pain. It’s a 20 on the pain scale. It wouldn’t be so bad if I didn’t also feel like I was going to throw up. And the light is just killing me.
I know this will probably make my head hurt worse, but I can’t help but wonder how to code my migraine in ICD-10-CM.
Both ICD-9-CM and ICD-10-CM contain multiple codes for migraines. Let’s check out the list of ICD-10-CM codes.
The first choice is migraine without aura (G43.00). Well, I saw those funny lights before the migraine started, so we can rule that series of codes out.
As an aside, if you aren’t familiar with migraines and auras, you can find a lot of information on WebMD.
The next codes look like the correct ones:
- G43.10, migraine with aura, not intractable
- G43.11, migraine with aura, intractable
What exactly does intractable mean though? Intractable simply means the migraine does not get better with standard treatment.
At the beginning of the migraine code series, ICD-10-CM gives us this note: “The following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled.” If we see any of those terms in the documentation, we’ll use a code for intractable migraine.
I haven’t taken anything for my migraine yet, so I don’t know for sure whether it is intractable. Either way, we need an additional piece of information before we can assign a code:
- With status migrainosus
- Without status migrainosus
A migraine attack that lasts for more than 72 hours is called status migrainosus. Oh, that would really be a killer. My migraine has only been visiting for a few hours, so it’s without status migrainosus.
That narrows my choices down to:
- G43.109, migraine with aura, not intractable, without status migrainosus
- G43.119, migraine with aura, intractable, without status migrainosus
I can’t pick a final code until I know whether normal treatment will make the migraine go away. I think it’s time to find out. I am off to take some meds, find a dark room, and call it a day.