ICD Code G43.009

ICD code G43.009 is migraine without aura, not intractable, and without status migrainosus.

1. Recurrent headache attacks lasting 4–72 hours (untreated or unsuccessfully treated)

2. Headache has at least two of the following characteristics: unilateral location, pulsating quality, moderate or severe pain intensity, aggravation by or causing avoidance of routine physical activity

3. During headache, at least one of the following: nausea and/or vomiting, photophobia, phonophobia

4. No aura symptoms present before or during the headache

5. Headache is not attributed to another disorder

6. Headache is not classified as intractable

7. No evidence of status migrainosus (headache duration less than 72 continuous hours)

Relevant CPT codes that may be used to treat ICD code G43.009 include:

- 99202–99215 (Evaluation and Management services)

- 96372 (Therapeutic, prophylactic, or diagnostic injection)

- 96365 (Intravenous infusion, for therapy, prophylaxis, or diagnosis)

- 64615 (Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal, and accessory nerves, bilateral, for chronic migraine)

- 90832, 90834, 90837 (Psychotherapy services, if indicated)

- 97110 (Therapeutic exercises, if physical therapy is part of the treatment plan)

CPT code selection should be based on the specific services rendered for ICD code G43.009.

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