Menstrual migraine, intractable, with status migrainosus

This code signifies a severe and persistent migraine headache that is specifically linked to the menstrual cycle. The migraine is considered intractable, meaning it is resistant to standard treatments, and has progressed to status migrainosus, indicating a debilitating migraine attack lasting 72 hours or longer.

Apply this code when a female patient presents with a prolonged, severe migraine attack directly associated with menstruation, and the medical record clearly indicates that conventional therapies have failed to provide relief. Documentation should specify the menstrual link, the intractable nature of the migraine, and the duration meeting the criteria for status migrainosus.

• Ensure documentation explicitly links the migraine to the menstrual cycle and confirms intractability.
• Verify the migraine duration meets the 72-hour criterion for status migrainosus.
• Do not use this code for menstrual-related migraines that are not intractable or have not progressed to status migrainosus.