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G44.031

Billable

Episodic paroxysmal hemicrania, intractable

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

A rare headache disorder with episodes of brief, intense stabbing pain on one side of the head accompanied by eye redness and tearing that does not respond well to treatment.

Coding Tips

  • Paroxysmal hemicrania is a trigeminal autonomic cephalgia; verify the episodic pattern is documented in the clinical record
  • Intractable status requires documentation of failed treatment attempts; ensure this is clearly noted

Code Hierarchy

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