tci ED Coding & Reimbursement Alert - 2019 Issue Q3

Reader Question: Differentiate Cluster Headache From Migraine

Question: During a level-three E/M service in the ED, the physician diagnosed a patient with chronic, intractable cluster headaches. What is a cluster headache, and what ICD-10 code should I report? I thought a cluster headache was the same as a migraine, but it doesn’t appear to be that way. Supercoder Subscriber Answer: You’re right; cluster headaches are similar to migraines. But they do have their own ICD-10 codes, however, so you’ll need to know how to identify them for proper diagnosis coding. First, we’ll start with the specifics. Based on the notes you provide...

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