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univadis
IHS Diagnosis ICD-10
6.5.5 Angiography headache G44.810  

Diagnostic criteria:

  1. Acute headache with one of the following sets of characteristics and fulfilling criteria C and D
    1. diffuse burning severe headache
    2. headache, in a patient with migraine, having the features of migraine
  2. Intra-arterial carotid or vertebral angiography has been performed
  3. Headache develops during angiography
  4. Headache resolves within 72 hours

Comment:

The intracarotid or intravertebral injection of contrast induces a diffuse severe headache with a burning sensation which resolves spontaneously. The injection can also trigger a migraine attack in a person who has migraine. This should be coded both under 1. Migraine (as the appropriate subtype) and as 6.5.5 Angiography headache.

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