ICD-10 Coding for History of Migraine(Z86.601, Z86.602)
Complete ICD-10-CM coding and documentation guide for History of Migraine. 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
Z86.601-Z86.609Primary Range
Personal history of migraine
These codes are used to document a patient's past history of migraines, which may impact current care but are not the primary reason for a healthcare encounter.
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 history of migraines without aura that may affect current care. |
|
| Z86.602 | Personal history of migraine with aura | Use when documenting a patient's history of migraines with aura that may affect current care. |
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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 migraines
Essential facts and insights about History of Migraine
Primary ICD-10-CM Codes for history of migraine
Decision Criteria
documentation Criteria
- Document absence of aura in past migraines
Applicable To
- History of migraine without aura
Excludes
- Current migraine episodes (G43.-)
Clinical Validation Requirements
- Documentation of past migraines without aura
- No current migraine symptoms
Code-Specific Risks
- Incorrectly using as a primary diagnosis
Coding Notes
- Ensure documentation specifies 'without aura' to avoid unspecified coding.
Z86.602 - Personal history of migraine with aura
Use when documenting a patient's history of migraines with aura that may affect current care.
Applicable To
- History of migraine with aura
Excludes
- Current migraine episodes (G43.-)
Clinical Validation Requirements
- Documentation of past migraines with aura
- No current migraine symptoms
Coding Notes
Ensure documentation specifies 'with aura' to avoid unspecified coding.
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 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 unspecified coding.
Mitigation Strategy
Always document whether aura was present in past migraines., Use specific codes for with/without aura.
Impact
Reimbursement: May lead to claim denials if used as primary diagnosis., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate representation of patient's current health status.
Mitigation Strategy
Always use Z86.6xx as a secondary code when documenting history.
Impact
Using Z86.6xx as a primary diagnosis can trigger audits.
Mitigation Strategy
Ensure these codes are used as secondary diagnoses.
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, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for History of Migraine
Use these documentation templates to ensure complete and accurate documentation for History of Migraine. These templates include all required elements for proper coding and billing.
Neurology Progress Note
Specialty: NeurologyRequired Elements
- Type of migraine (with/without aura)
- Frequency of past episodes
- Duration of migraine history
- Past treatments and responses
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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