Headaches

Effective October 1, 2008, category 339, Other headache syndromes, was created to provide unique codes for a number of different types of headache syndromes. In addition, changes have been made to category 346, Migraine, to provide additional specificity in the classification of migraines. These changes were made to align with current terminology used in the clinical classification of headaches as developed by the Headache Classification Subcommittee of the International Headache Society (IHS). Headache syndromes are classified as follows: Cluster headaches and other trigeminal autonomic cephalgias (339.00-339.09) Tension type headaches (339.10-339.12) Post-traumatic (339.20-339.22) Drug...

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Note:  The following article synopsis was NOT provided by the AHA. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains a coding update for headache and migraine classification that became effective October 1, 2008. It is aimed at coders and clinicians who need to understand how the headache-related categories were reorganized, how migraine specificity was expanded, and how related exclusions and subclassification changes were applied within ICD-9-CM. The content also includes a clinical scenario illustrating the broader topic of headache and migraine coding in the context of another diagnosis.

Why This Topic Matters

Headache and migraine documentation can be nonspecific, and the article highlights changes intended to improve classification accuracy and consistency. It helps readers recognize when revised categories, subcategories, and related diagnosis groupings are involved in medical record coding.

Article Sections

  1. Overview of headache and migraine classification changes

    Introduces the coding update, the effective date, and the general purpose of the classification changes. It also identifies the organizations and terminology influences behind the revision.

  2. Other headache syndromes (339)

    Summarizes the newly organized headache syndrome category and its subcategories. It presents the broader groupings covered by the revision and the related exclusions.

  3. Migraine (346)

    Describes the revised migraine category, including the expanded fifth-digit structure and the broader set of migraine subcategories. It also notes the related exclusions and terminology updates.

  4. Clinical example

    Provides a patient scenario involving headache, migraine, and another acute diagnosis. It shows how the article applies the classification concepts in a real-world hospital setting.

What You Will Learn

  • How the headache classification update reorganized major diagnostic categories
  • What general types of headache syndromes are covered in the revision
  • How the migraine category was expanded for greater specificity
  • Why documentation and terminology matter for headache-related coding
  • How a clinical example connects headache coding concepts with inpatient diagnosis assignment

Who Should Read This

  • Medical coders
  • Coding auditors
  • Clinicians documenting headache diagnoses
  • Revenue cycle professionals
  • Health information management staff

Codes Discussed

  • ICD-9-CM: 339
  • ICD-9-CM: 346
  • ICD-9-CM: 307.81
  • ICD-9-CM: 784.0
  • ICD-9-CM: 349.0
  • ICD-9-CM: 339.00
  • ICD-9-CM: 339.01
  • ICD-9-CM: 339.02
  • ICD-9-CM: 339.03
  • ICD-9-CM: 339.04
  • ICD-9-CM: 339.05
  • ICD-9-CM: 339.09
  • ICD-9-CM: 339.10
  • ICD-9-CM: 339.11
  • ICD-9-CM: 339.12
  • ICD-9-CM: 339.20
  • ICD-9-CM: 339.21
  • ICD-9-CM: 339.22
  • ICD-9-CM: 339.3
  • ICD-9-CM: 339.41
  • ICD-9-CM: 339.42
  • ICD-9-CM: 339.43
  • ICD-9-CM: 339.44
  • ICD-9-CM: 339.81
  • ICD-9-CM: 339.82
  • ICD-9-CM: 339.83
  • ICD-9-CM: 339.84
  • ICD-9-CM: 339.85
  • ICD-9-CM: 339.89
  • ICD-9-CM: 346.0
  • ICD-9-CM: 346.1
  • ICD-9-CM: 346.2
  • ICD-9-CM: 346.3
  • ICD-9-CM: 346.4
  • ICD-9-CM: 346.5
  • ICD-9-CM: 346.6
  • ICD-9-CM: 346.7
  • ICD-9-CM: 346.8
  • ICD-9-CM: 346.9
  • ICD-9-CM: 434.91
  • ICD-9-CM: 346.60

Code Ranges Discussed

  • ICD-9-CM: 339.00-339.09
  • ICD-9-CM: 339.10-339.12
  • ICD-9-CM: 339.20-339.22
  • ICD-9-CM: 339.41-339.44
  • ICD-9-CM: 339.81-339.89
  • ICD-9-CM: 346.0-346.9
  • ICD-9-CM: [0-3]

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