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Evaluation and Management and Current Procedural Terminology Coding for Headache
Author(s) -
Evans Randolph W.,
Black Stuart
Publication year - 2007
Publication title -
headache: the journal of head and face pain
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.14
H-Index - 119
eISSN - 1526-4610
pISSN - 0017-8748
DOI - 10.1111/j.1526-4610.2007.00659.x
Subject(s) - terminology , documentation , current procedural terminology , health care , medical terminology , medicine , library science , law , political science , nursing , computer science , philosophy , linguistics , programming language
CLINICAL HISTORIES Case 1.—A 39-year-old woman was referred by her family physician for a fifth neurological opinion with a chief complaint of a 15-year history of migraine without aura with increasing frequency that has become daily for the last 4 years. Extensive medical records are reviewed. She has failed numerous preventive and symptomatic medications. She is on daily combination analgesics and a triptan a few times a week, fluoxetine, and propranolol but still reports rather constant generalized pressure and throbbing headaches with an intensity ranging from 5/10 to 10/10 (actually she says a 20 even when the scale is explained) with intermittent nausea, light and noise sensitivity, and occasional vomiting but no aura. Past medical history of depression, anxiety, and fibromyalgia. Family history of mother