tci Part B Insider - 2009 Issue 39

READER QUESTION: These Tips Help You Select the Right Migraine Code

In some cases, the unspecified code may be your best option. Question: A 46-year-old new patient presents to our practice with recurring headaches. She reports that the headaches started sporadically "about five weeks ago," increasing in frequency but decreasing in severity to the point that she was having mild to moderate headaches daily that she was treating with various over-thecounter headache medications. Then, the patient had the "worst headache of her life" yesterday; symptoms included photophobia and phonophobia, seeing blue spots, and "crushing" pain behind her left eye. The doctor provides a level-three E/M service, ruling out medication...

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