Ophthalmoplegic migraine, intractable

This code signifies a severe and persistent form of migraine characterized by paralysis or weakness of one or more eye muscles, leading to double vision or drooping eyelids. "Intractable" indicates that the condition is resistant to standard treatments and significantly impacts the patient's quality of life.

Apply this code when documentation clearly states a diagnosis of ophthalmoplegic migraine that is difficult to manage or unresponsive to therapy. Supporting documentation should detail the presence of ocular motor nerve palsies associated with migraine attacks and the failure of multiple treatment regimens.

• Ensure documentation explicitly states "intractable" or "refractory" to justify this specific code.
• Do not confuse with other migraine types; the key feature here is ophthalmoplegia.
• Code any associated neurological deficits or complications separately if documented.