ED Coding and Reimbursement Alert
Be Proactive When Locating Prodrome Symptoms
Question: The provider diagnosed the patient with “migraine w/prodrome, no status migrainosus.” What is migraine with prodrome, and how do I code this encounter? AAPC Forum Subscriber Answer: The term “prodrome” could throw you, but it is merely a synonym for aura. So, on your claim, you should report G43.101 (Migraine with aura, not intractable, with status migrainosus). “Migraine with aura” is a relatively new name for the less common type of migraine headache. Aura refers to feelings and symptoms you notice shortly before the headache begins. Symptoms of aura might include: Head’s up: Prodrome isn’t the only synonym for aura. You’ll want to look at migraine with aura ICD-10 codes if you see any of the following terms in the provider’s notes:
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