ICD Code G43.719

ICD code G43.719 is chronic migraine without aura that is difficult to treat (intractable) and does not involve status migrainosus (a severe, prolonged migraine attack).

1. Patient experiences recurrent headaches consistent with migraine characteristics.

2. Headaches occur on 15 or more days per month for more than three months.

3. Migraines are present without aura (no preceding neurological symptoms such as visual disturbances).

4. Headaches are resistant to standard acute and preventive migraine therapies (intractable).

5. No evidence of status migrainosus (headache attack does not last more than 72 hours).

6. Symptoms may include moderate to severe head pain, often unilateral, pulsating quality, aggravated by routine physical activity, and associated with nausea, vomiting, photophobia, or phonophobia.

Relevant CPT codes for ICD code G43.719 include:

- 99202–99215 (Evaluation and Management office visits)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 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 applicable)

- 96105, 96116, 96121 (Neurobehavioral status exam and assessment, if indicated)

- J0585 (Injection, onabotulinumtoxinA, per unit, for use in chronic migraine management)

- 20552, 20553 (Trigger point injections, if clinically indicated)

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