ICD-10 Coding for Hemiplegic Migraine(G43.401, G43.411)
Complete ICD-10-CM coding and documentation guide for Hemiplegic Migraine. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Hemiplegic Migraine
G43.4-Primary Range
Hemiplegic migraine
This range includes all codes related to hemiplegic migraine, specifying intractability and status migrainosus.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| G43.401 | Hemiplegic migraine, not intractable, without status migrainosus | Use when the patient experiences hemiplegic migraine without intractability or status migrainosus. |
|
| G43.411 | Hemiplegic migraine, intractable, with status migrainosus | Use when the migraine is intractable and status migrainosus is present. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for hemiplegic migraine
Essential facts and insights about Hemiplegic Migraine
Primary ICD-10-CM Codes for hemiplegic migraine
Decision Criteria
clinical Criteria
- Reversible motor weakness with aura
Applicable To
- Reversible motor weakness with migraine
Excludes
- Stroke (I63.9)
Clinical Validation Requirements
- Documented reversible motor weakness
- Presence of aura
- Migraine headache
Code-Specific Risks
- Confusion with stroke if not properly documented
Coding Notes
- Ensure documentation clearly links motor weakness to migraine.
G43.411 - Hemiplegic migraine, intractable, with status migrainosus
Use when the migraine is intractable and status migrainosus is present.
Applicable To
- Intractable hemiplegic migraine with prolonged symptoms
Excludes
- Epilepsy (G40.909)
Clinical Validation Requirements
- Intractable migraine with prolonged motor weakness
- Status migrainosus
Coding Notes
Document intractability and status migrainosus explicitly.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other symptoms involving nervous and musculoskeletal systems
R29.818Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Hemiplegic Migraine to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code G43.401.
Impact
Clinical: Leads to misdiagnosis or incorrect treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential claim denials or reduced reimbursement.
Mitigation Strategy
Use structured templates, Regular training on documentation standards
Impact
Reimbursement: May lead to denied claims due to insufficient documentation., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate data representation of patient condition.
Mitigation Strategy
Ensure documentation includes specific motor weakness details.
Impact
Inadequate documentation of motor weakness can lead to audit issues.
Mitigation Strategy
Implement detailed templates and regular audits.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Hemiplegic Migraine, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Hemiplegic Migraine
Use these documentation templates to ensure complete and accurate documentation for Hemiplegic Migraine. These templates include all required elements for proper coding and billing.
Neurology Clinic Visit
Specialty: NeurologyRequired Elements
- Patient history
- Aura description
- Motor weakness details
- Family history
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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