tci ED Coding & Reimbursement Alert - 2022 Issue Q3

Reader Questions: Be Proactive When Locating Prodrome Symptoms

Question: The provider diagnosed the patient with “migraine w/prodrome, no status migrainosus.” What is migraine with prodrome, and how do I code this encounter? AAPC Forum Subscriber Answer: The term “prodrome” could throw you, but it is merely a synonym for aura. So, on your claim, you should report G43.101 (Migraine with aura, not intractable, with status migrainosus). “Migraine with aura” is a relatively new name for the less common type of migraine headache. Aura refers to feelings and symptoms you notice shortly before the headache begins. Symptoms of aura might include: Blind spots...

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