2025 ICD-10-CM code G43.1
(Active) Effective Date: N/A Diseases of the nervous system - G40-G47 6 Feed
Migraine with aura
The medical necessity for diagnosing and treating migraine with aura relates to the debilitating nature of the condition, which can significantly impact a patient's quality of life.Effective management aims to reduce the frequency, severity, and duration of migraine attacks, improve the patient's ability to function, and prevent long-term complications.
Diagnosis and management of migraine with aura are typically handled by neurologists or primary care physicians.Clinical responsibility includes evaluating the patient's medical history, conducting a physical and neurological examination, and ordering diagnostic tests (e.g., MRI, CT scan) if necessary to rule out other conditions. Treatment involves managing acute attacks and preventing future episodes through medication, lifestyle changes, and other therapies.
In simple words: A migraine with aura is a severe headache that is often preceded by warning signs like seeing flashing lights or feeling tingling. The headache itself can be very painful, often throbbing on one side, and may cause nausea, vomiting, and sensitivity to light and sound.
Migraine with aura is a neurological condition characterized by recurrent headaches, often preceded or accompanied by sensory disturbances called auras. These auras can manifest as visual changes (e.g., flashes of light, blind spots, zigzag lines), sensory changes (e.g., tingling in the face or limbs), speech difficulties, or other neurological symptoms.The headache phase, when present, typically involves severe, throbbing pain, often on one side of the head, and can be associated with nausea, vomiting, and sensitivity to light and sound.
Example 1: A 35-year-old female presents with a throbbing headache preceded by flashing lights in her right visual field. She also experiences nausea and sensitivity to light.This aligns with a typical presentation of migraine with aura (G43.1)., A 60-year-old male reports experiencing visual distortions, such as zigzag lines, but no headache. After a thorough evaluation, his physician diagnoses him with migraine with aura without headache (G43.1), sometimes referred to as a silent migraine., A 25-year-old female experiences tingling in her left hand and arm, followed by a severe headache.This sensory disturbance preceding the headache suggests a diagnosis of migraine with aura (G43.1).
Documentation should include a detailed description of the aura symptoms (e.g., type, duration, location), the characteristics of the headache (e.g., location, intensity, duration, associated symptoms like nausea and vomiting), and any triggers or relieving factors.It's also essential to document the frequency and severity of the migraine attacks.Any diagnostic tests performed (e.g., MRI, CT scan) and their results should also be included.
- Specialties:Neurology, Family Medicine, Internal Medicine
- Place of Service:Office, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home