Full Answer
Determine the main term which is headache. In the ICD-10-CM Alphabetic Index, look for Headache/migraine (type) (see also Migraine). In the same index look for Migraine (idiopathic)/without aura/chronic/not intractable/with status migrainosus directs you to code G43.701. Review the code in the Tabular List to verify the code accuracy. Nice work!
G43.909 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2018/2019 edition of ICD-10-CM G43.909 became effective on October 1, 2018. This is the American ICD-10-CM version of G43.909 - other international versions of ICD-10 G43.909 may differ.
It should be coded as G43.709 (migraine, without aura, chronic) Category G46 (migraine with cerebral infarction) needs an additional code from category I63 (cerebral infarction) to specify the type of cerebral infarction. Classical or basilar migraine should be coded as migraine with aura.
The two major subtypes are common migraine (without aura) and classic migraine (with aura or neurological symptoms). (international classification of headache disorders, 2nd ed. Cephalalgia 2004: suppl 1)
Chronic migraine does not have a direct entry in ICD-10 manual index. It should be coded as G43.709 (migraine, without aura, chronic)
Note: Coded G43.709 (chronic migraine without aura) though not mentioned as with or without aura as there is no specific index entry for migraine chronic directly.
Migraine occurs in 4 stages (though not all stages in everyone) – Prodrome, aura, attack, post-drome. Knowing the stages is important in assigning a case specific ICD code.
Sometimes severity of the pain can be very severe and can last for more than 2 days.
The type of pain can be throbbing at one side of the head associated with light sensitivity and nausea, vomiting.
Symptoms include, black dots, flashes of light, hallucination, unable to speak clearly, weakness or numbness on face or one side of the body, difficulty in talking.
Note: Coder should assign “with aura” only if physician diagnosed the same.
A common, severe type of vascular headache often associated with increased sympathetic activity, resulting in nausea, vomiting, and light sensitivity. If you suffer from migraine headaches, you're not alone. About 12 percent of the United States Population gets them.
A class of disabling primary headache disorders, characterized by recurrent unilateral pulsatile headaches. The two major subtypes are common migraine (without aura) and classic migraine (with aura or neurological symptoms). (international classification of headache disorders, 2nd ed. Cephalalgia 2004: suppl 1)
Migraine is three times more common in women than in men. Some people can tell when they are about to have a migraine because they see flashing lights or zigzag lines or they temporarily lose their vision.
Now they believe the cause is related to genes that control the activity of some brain cells. Medicines can help prevent migraine attacks or help relieve symptoms of attacks when they happen.
Neural condition characterized by a severe recurrent vascular headache, usually on one side of the head, often accompanied by nausea, vomiting, and photophobia, sometimes preceded by sensory disturbances; triggers include allergic reactions, excess carbohydrates or iodine in the diet, alcohol, bright lights or loud noises.
The 2022 edition of ICD-10-CM G43.909 became effective on October 1, 2021.
Rationale: Look in the ICD-10-CM Alphabetic Index for Headache. You can also find the code by going to Pain/head. There is no further description making R51 the correct code. Verify code selection in the Tabular List
Determine the main term which is headache. In the ICD-10-CM Alphabetic Index, look for Headache/migraine (type) (see also Migraine). In the same index look for Migraine (idiopathic)/without aura/chronic/not intractable/with status migrainosus directs you to code G43.701. Review the code in the Tabular List to verify the code accuracy.
Rationale: Look in the ICD-10-CM Alphabetic Index for Salpingitis/gonococcal (acute) (chronic) A54.24. Look for A54.24 in the Tabular List. You only need to report one code for this diagnosis. Under code N70 there is an Excludes1 instructional note that lists gonococcal infection (A54.24) which indicates that no codes from the N70 category should be reported for this diagnosis.
The main term is infarction. In the ICD-10-CM Alphabetic Index, look for Infarct, infarction/myocardium, myocardial (acute) (with stated duration of 4 weeks or less) I21.9. Refer to the Tabular List. This is the correct code, even though there is no stated duration in the question, because code I21.9 lists Myocardial infarction (acute) NOS under the code. Note: There is a category note for I21 to use additional code, if applicable, to identify exposure to, use of, dependence of tobacco, or status post tPA in another facility. This is coded if known.
Look for Syncope in the ICD-10-CM Alphabetic Index. You are referred to R55. Review the code in the Tabular List to verify the code accuracy.
R10.13The main term is pain. In the ICD-10-CM Alphabetic Index, look for Pain/epigastric, epigastrium. You are referred to R10.13. Review the code in the Tabular List to verify the code accuracy.
Look for Laceration/eyelid, and you are referred to S01.11-. Review the code in the Tabular List to report 6th and 7th characters and to verify the code accuracy. S01.111D is the correct code to report because the laceration is on the right side. The 7th character D is reported to indicate subsequent encounter.
C. Code the postoperative diagnosis because it is the most definitive.
The diagnosis caudal cervical inflammatory spondylopathy is assigned ICD-10-CM code M46.82 and is an example of what ICD-10-CM coding convention?
A common, severe type of vascular headache often associated with increased sympathetic activity, resulting in nausea, vomiting, and light sensitivity. If you suffer from migraine headaches, you're not alone. About 12 percent of the United States Population gets them.
A class of disabling primary headache disorders, characterized by recurrent unilateral pulsatile headaches. The two major subtypes are common migraine (without aura) and classic migraine (with aura or neurological symptoms). (international classification of headache disorders, 2nd ed. Cephalalgia 2004: suppl 1)
In most cases the manifestation codes will have in the code title, "in diseases classified elsewhere.". Codes with this title are a component of the etiology/manifestation convention. The code title indicates that it is a manifestation code.
Migraine is three times more common in women than in men. Some people can tell when they are about to have a migraine because they see flashing lights or zigzag lines or they temporarily lose their vision.
Migraine G43-. the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled. Certain conditions have both an underlying etiology and multiple body system manifestations due to the underlying etiology.