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Menstrual Migraine Coding

By:  Chris Woolstenhulme, QCC, CMCS, CPC, CMRS
Published:  March 7th, 2017

When coding chronic migraines related to menstrual cramps, you must document that the patient has menstrual migraines. With ICD-10 there are a variety of migraines, including those that are neurologic, abdominal, and ophthalmologic based. You must also document whether the menstrual migraine (G43.82- and G43.83-) is intractable or not intractable, including whether it is with or without status migrainosus.

G43.821 Menstrual migraine, not intractablewith status migrainosus

G43.829 Menstrual migraine, not intractablewithout status migrainosus

Or

G43.831 Menstrual migraine, intractable, with status migrainosus

G43.839 Menstrual migraine, intractable, without status migrainosus

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