ICD-10 Coding for History of Migraine Headache(Z86.601, Z86.609)
Complete ICD-10-CM coding and documentation guide for History of Migraine Headache. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to History of Migraine Headache
Z86.601-Z86.609Primary Range
Personal history of diseases of the nervous system
This range includes codes for documenting a history of migraine headaches, specifying types and characteristics.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| Z86.601 | Personal history of migraine without aura | Use when documenting a patient's past episodes of migraine without aura, impacting current care decisions. |
|
| Z86.609 | Personal history of unspecified migraine | Use when the type of past migraine episodes is unspecified. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for history of migraine headache
Essential facts and insights about History of Migraine Headache
Primary ICD-10-CM Codes for history of migraine headache
Decision Criteria
clinical Criteria
- No current migraine symptoms
documentation Criteria
- Detailed history of migraine episodes
Applicable To
- History of migraine without aura
Excludes
- Current migraine episode (G43.-)
Clinical Validation Requirements
- Documented history of migraine episodes without aura
- No current migraine symptoms
Code-Specific Risks
- Misuse when current symptoms are present
Coding Notes
- Ensure no active migraine symptoms are present when using Z86.601.
Z86.609 - Personal history of unspecified migraine
Use when the type of past migraine episodes is unspecified.
Applicable To
- History of migraine, unspecified
Excludes
- Current migraine episode (G43.-)
Clinical Validation Requirements
- Documented history of migraine episodes without specific type
- No current migraine symptoms
Coding Notes
Avoid using if specific migraine history details are available.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting History of Migraine Headache to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code Z86.601.
Impact
Clinical: May lead to inappropriate treatment decisions., Regulatory: Non-compliance with documentation standards., Financial: Potential for claim denials due to insufficient documentation.
Mitigation Strategy
Use detailed templates for documentation, Regular training on documentation standards
Impact
Reimbursement: May lead to reduced reimbursement due to lack of specificity., Compliance: Non-compliance with coding guidelines requiring specificity., Data Quality: Decreases the accuracy of patient records.
Mitigation Strategy
Use the most specific code available, such as Z86.601 for migraines without aura.
Impact
Audits may target insufficiently specific documentation of migraine history.
Mitigation Strategy
Ensure detailed documentation of migraine types and impacts on care.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for History of Migraine Headache, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Migraine Headache
Use these documentation templates to ensure complete and accurate documentation for History of Migraine Headache. These templates include all required elements for proper coding and billing.
Patient with a history of migraines presenting for preventive care
Specialty: Primary CareRequired Elements
- Patient age and gender
- Detailed migraine history
- Impact on current care
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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