tci ED Coding & Reimbursement Alert - 2009 Issue 2

Reader Questions: Using New Migraine ICD-9? Remember 5th Digit

Question: I am having trouble navigating the new ICD-9 codes for migraines. My encounter notes state that the ED physician provided a level-three E/M for a patient who had an "intractable basilar migraine with status migrainosus." I know the right diagnosis code is in ICD-9 2009, but which one is it? Illinois Subscriber Answer: To represent the patient's migraine type, report 346.03 (Migraine with aura; with intractable migraine, so stated, with status migrainosus). For the ED service, use 99283 (Emergency department visit for the evaluation and management of a patient, which requires these 3 key components: an...

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