ICD-9 2009 also introduces a new fifth-digit classification for leukemia codes: 203.xx to 208.xx.Ī fifth digit of 2 to indicate “in relapse” for those patients who have had a lapsed remission and currently have active disease. 3 - With intractable migraine, so stated, with status migrainosus.2 - Without mention of intractable migraine with status migrainosus and.1 - With intractable migraine, so stated, without mention of status migrainosus.0 - Without mention of intractable migraine without mention of status migrainosus.Ophthalmoplegic migraine now reports with 346.2x instead of 346.8x.Īll migraine codes now require a fifth digit to indicate the presence of status migrainosus (severe migraine of more than 72 hours duration, which may increase the risk of stroke). Hemiplegic migraine had been an inclusion term under 346.8 but now has its own code. Several specific clinical manifestations of migraine (hemiplegic, with aura, menstrual, persistent with infarction, and chronic) are now classified for the first time. 346.7x - Chronic migraine without aura.346.6x - Persistent migraine aura with cerebral infarction and.346.5x - Persistent migraine aura without cerebral infarction. ![]() Migraine codes also undergo the following revision with the addition of several fourth-digit categories: ![]() Note that 784.0 will still be used to classify headache as a symptom and without further specification. The new codes will allow for more accurate reporting and better data aggregation and may also provide more convincing medical justification for high-end imaging exams such as MRI.
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