I48.2 - Chronic atrial fibrillation

Clinical Definition

Migraine is a primary headache disorder characterized by recurrent episodes of moderate to severe headaches, often accompanied by nausea, vomiting, and sensitivity to light and sound. Migraines typically affect one side of the head and can last from hours to days.

Documentation Requirements

• Laterality: Must specify if:

  • Unilateral

  • Bilateral

  • Side-alternating

• Status:

  • Intractable vs. non-intractable

  • With or without aura

• Chronicity:

  • Episodic

  • Chronic (15+ headache days per month for >3 months)

• Current Phase:

  • Active attack

  • In remission

• Associated Symptoms:

  • Photophobia

  • Phonophobia

  • Nausea/vomiting

Common Synonyms

• Sick headache

• Visual migraine

• Hemicranial headache

• Vascular headache

• "My usual headaches"

Coding Conflicts

• Excludes1:

  • Cluster headaches

  • Tension headaches

• Excludes2:

  • Status migrainosus

  • Menstrual migraine

Scribing.io Automation

Our AI scribe automatically identifies migraine-specific language patterns including:

• Pain descriptors ("throbbing," "pulsating")

• Associated symptoms ("light sensitivity," "sound sensitivity")

• Temporal patterns ("occurs every month," "lasts for days")

• Trigger factors ("triggered by stress," "hormonal changes")
  The system also flags missing documentation elements needed for proper coding, such as laterality and intractability status.