L20.89 - Other atopic dermatitis

Clinical Definition

A headache characterized by episodic attacks lasting 4-72 hours, typically unilateral, pulsating in quality, moderate to severe intensity, aggravated by physical activity, and associated with nausea/vomiting and/or photophobia/phonophobia.

Documentation Requirements

• Duration: Must specify length of attacks (4-72 hours)

• Location: Document laterality (unilateral/bilateral)

• Quality: Note if pulsating/throbbing

• Severity: Document intensity (mild/moderate/severe)

• Associated Symptoms: Must include at least one:

  • Nausea and/or vomiting

  • Photophobia and phonophobia

• Impact: Document effect on daily activities

• Frequency: Number of attacks per month

• Aura Status: Presence/absence of aura symptoms

Common Synonyms

• Sick headache

• Periodic headache

• Vascular headache

• Neurological headache

• Pounding headache

Coding Conflicts

• Excludes1:

  • Cluster headache (G44.0)

  • Tension-type headache (G44.2)

• Excludes2:

  • Status migrainosus (G43.7)

  • Chronic migraine (G43.3)

Scribing.io Automation

The AI scribe automatically identifies key migraine descriptors in patient-provider conversations:

• Captures temporal patterns ("happens every few weeks")

• Flags associated symptoms ("light bothers me")

• Recognizes severity descriptions ("can't function")

• Maps patient language to clinical terminology

• Identifies aura descriptions ("see spots before it starts")