Archive for September, 2019

Concussion and Migraine Update

A few years ago, the codes doctors use to label diseases was upgraded. To we chiropractic and medical neuarologist’s satisfaction, many of the symptoms that accompany concussions, migraines and severe headaches, such as abdominal complaints like nausea (G43.DO), visual changes causing double-vision and eye pain (G43.B) and mental-state changes of mental fatigue while concentrating and personality changes not experienced prior (R41.9), were included in the new codes. These reevised codes were more inclusive and they, in some respects, justified our long-time recognition of the complications of concussion(SO6. …), migraines (G43. …) and headaches.
The list below shows just a few of the updated conditions that were not well understood not long ago and ones seen in my patient population.
Our understanding of concussions and other head-origin complaints is growing.

                 ICD-10 Cranial (head) Doiagnostic Codes

R51        Headache & Facial px: chronic or daily
M53.0    Cervicocranial syndrome
G43.C0   Periodic headache syndromes child or adult
G44.209 Tension, cervicogenic headache
G44.011 Cluster headache, episodic
G44.021 Cluster headache, chronic
G43.009 Migraine without aura
G43.109 Migraine with aura
G43.809 Other migrc/ostatusmigrainosus(days long)
G43.809 Allergic headache
G44.1      Vascular headache
G43.B      Ophthalmoplegic migraine
G43.D0    Abdominal migrane
S06.0X0   Concussion without loss of consciousness
S06.0X1   Concuss with loss of conscious less 30 mins
S06.0X9   Concuss with loss of conscious unspec time
H93.1       Tinnitus (ringing in the ears)
I63.9        Cerebral infarct
G51.0       Bell’s Palsy
H81.0       Meniere’s disease
F07.81      Post-concussion syndrome
H51.11     Convergence insufficiency
H81.49     Vertigo central origin, ear
S07.OXXA Crushing injury of face
S00.83XA  Contusion face
H81.10      Benign paroxysmal positional vertigo BPPV
M54.81     Occipital neuralgia
H57.811    Brow ptosis R
H57.812    Brow ptosis L
H57.813    Brow ptosis bilateral
G31.84      Mild cognitive impairment
R41.0        Mental state- not thinking clearly
R41.9        Unspec cognitive functions and awareness
R25.0        Abnormal head movements


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