Category · FY2027
G43 Migraine
- Header · not billable
G43 is not billable. The category heads 48 billable codes in FY2027, grouped under 13 subdivisions.
ICD-10 code by name
- What is the ICD-10 code for migraine?
- Migraine ICD-10 code: G43.909 Migraine, unspecified, not intractable, without status migrainosus. Alphabetic Index: Migraine (idiopathic) → G43.909. Search ICD-10 for migraine
- What is the ICD-10 code for migraine headache?
- Migraine headache ICD-10 code: G43.909 Migraine, unspecified, not intractable, without status migrainosus. Alphabetic Index: Headache›migraine (type) → G43.909. Search ICD-10 for migraine headache
Where it sits
- Billable codes
- 48
- Subdivisions
- 13
- CC / MCC codes
- 4 / 0
- HCC V28 codes
- 0
- New FY2027
- 0
- Index entries
- 144
Codes in G43
- G43.0Migraine without auraHeader
Inclusion terms 1, Excludes1 1
Inclusion terms
- Common migraine
Excludes1
- chronic migraine without aura (G43.7-) G43.7
- G43.00Migraine without aura, not intractableHeader
Inclusion terms 1
Inclusion terms
- Migraine without aura without mention of refractory migraine
- G43.001Migraine without aura, not intractable, with status migrainosusBillable
- G43.009Migraine without aura, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Migraine without aura NOS
- G43.01Migraine without aura, intractableHeader
Inclusion terms 1
Inclusion terms
- Migraine without aura with refractory migraine
- G43.011Migraine without aura, intractable, with status migrainosusBillable
- G43.019Migraine without aura, intractable, without status migrainosusBillable
- G43.1Migraine with auraHeader
Inclusion terms 10, Excludes1 2, Code also 1
Inclusion terms
- Basilar migraine
- Classical migraine
- Migraine equivalents
- Migraine preceded or accompanied by transient focal neurological phenomena
- Migraine triggered seizures
- Migraine with acute-onset aura
- Migraine with aura without headache (migraine equivalents)
- Migraine with prolonged aura
- Migraine with typical aura
- Retinal migraine
Excludes1
- G43.10Migraine with aura, not intractableHeader
Inclusion terms 1
Inclusion terms
- Migraine with aura without mention of refractory migraine
- G43.101Migraine with aura, not intractable, with status migrainosusBillable
- G43.109Migraine with aura, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Migraine with aura NOS
- G43.11Migraine with aura, intractableHeader
Inclusion terms 1
Inclusion terms
- Migraine with aura with refractory migraine
- G43.111Migraine with aura, intractable, with status migrainosusBillable
- G43.119Migraine with aura, intractable, without status migrainosusBillable
- G43.4Hemiplegic migraineHeader
Inclusion terms 2
Inclusion terms
- Familial migraine
- Sporadic migraine
- G43.40Hemiplegic migraine, not intractableHeader
Inclusion terms 1
Inclusion terms
- Hemiplegic migraine without refractory migraine
- G43.401Hemiplegic migraine, not intractable, with status migrainosusBillable
- G43.409Hemiplegic migraine, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Hemiplegic migraine NOS
- G43.41Hemiplegic migraine, intractableHeader
Inclusion terms 1
Inclusion terms
- Hemiplegic migraine with refractory migraine
- G43.411Hemiplegic migraine, intractable, with status migrainosusBillable
- G43.419Hemiplegic migraine, intractable, without status migrainosusBillable
- G43.5Persistent migraine aura without cerebral infarctionHeader
- G43.50Persistent migraine aura without cerebral infarction, not intractableHeader
Inclusion terms 1
Inclusion terms
- Persistent migraine aura without cerebral infarction, without refractory migraine
- G43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosusBillable
- G43.509Persistent migraine aura without cerebral infarction, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Persistent migraine aura NOS
- G43.51Persistent migraine aura without cerebral infarction, intractableHeader
Inclusion terms 1
Inclusion terms
- Persistent migraine aura without cerebral infarction, with refractory migraine
- G43.511Persistent migraine aura without cerebral infarction, intractable, with status migrainosusBillable
- G43.519Persistent migraine aura without cerebral infarction, intractable, without status migrainosusBillable
- G43.6Persistent migraine aura with cerebral infarctionHeader
Code also 1
Code also
- the type of cerebral infarction (I63.-) I63
- G43.60Persistent migraine aura with cerebral infarction, not intractableHeader
Inclusion terms 1
Inclusion terms
- Persistent migraine aura with cerebral infarction, without refractory migraine
- G43.601Persistent migraine aura with cerebral infarction, not intractable, with status migrainosusBillableCC
- G43.609Persistent migraine aura with cerebral infarction, not intractable, without status migrainosusBillableCC
- G43.61Persistent migraine aura with cerebral infarction, intractableHeader
Inclusion terms 1
Inclusion terms
- Persistent migraine aura with cerebral infarction, with refractory migraine
- G43.611Persistent migraine aura with cerebral infarction, intractable, with status migrainosusBillableCC
- G43.619Persistent migraine aura with cerebral infarction, intractable, without status migrainosusBillableCC
- G43.7Chronic migraine without auraHeader
Inclusion terms 1, Excludes1 1
Inclusion terms
- Transformed migraine
Excludes1
- migraine without aura (G43.0-) G43.0
- G43.70Chronic migraine without aura, not intractableHeader
Inclusion terms 1
Inclusion terms
- Chronic migraine without aura, without refractory migraine
- G43.701Chronic migraine without aura, not intractable, with status migrainosusBillable
- G43.709Chronic migraine without aura, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Chronic migraine without aura NOS
- G43.71Chronic migraine without aura, intractableHeader
Inclusion terms 1
Inclusion terms
- Chronic migraine without aura, with refractory migraine
- G43.711Chronic migraine without aura, intractable, with status migrainosusBillable
- G43.719Chronic migraine without aura, intractable, without status migrainosusBillable
- G43.ACyclical vomitingHeader
Excludes1 1
Excludes1
- cyclical vomiting syndrome unrelated to migraine (R11.15) R11.15
- G43.A0Cyclical vomiting, in migraine, not intractableBillable
Inclusion terms 1
Inclusion terms
- Cyclical vomiting, without refractory migraine
- G43.A1Cyclical vomiting, in migraine, intractableBillable
Inclusion terms 1
Inclusion terms
- Cyclical vomiting, with refractory migraine
- G43.BOphthalmoplegic migraineHeader
- G43.B0Ophthalmoplegic migraine, not intractableBillable
Inclusion terms 1
Inclusion terms
- Ophthalmoplegic migraine, without refractory migraine
- G43.B1Ophthalmoplegic migraine, intractableBillable
Inclusion terms 1
Inclusion terms
- Ophthalmoplegic migraine, with refractory migraine
- G43.CPeriodic headache syndromes in child or adultHeader
- G43.C0Periodic headache syndromes in child or adult, not intractableBillable
Inclusion terms 1
Inclusion terms
- Periodic headache syndromes in child or adult, without refractory migraine
- G43.C1Periodic headache syndromes in child or adult, intractableBillable
Inclusion terms 1
Inclusion terms
- Periodic headache syndromes in child or adult, with refractory migraine
- G43.DAbdominal migraineHeader
- G43.D0Abdominal migraine, not intractableBillable
Inclusion terms 1
Inclusion terms
- Abdominal migraine, without refractory migraine
- G43.D1Abdominal migraine, intractableBillable
Inclusion terms 1
Inclusion terms
- Abdominal migraine, with refractory migraine
- G43.8Other migraineHeader
- G43.80Other migraine, not intractableHeader
Inclusion terms 1
Inclusion terms
- Other migraine, without refractory migraine
- G43.801Other migraine, not intractable, with status migrainosusBillable
- G43.809Other migraine, not intractable, without status migrainosusBillable
- G43.81Other migraine, intractableHeader
Inclusion terms 1
Inclusion terms
- Other migraine, with refractory migraine
- G43.811Other migraine, intractable, with status migrainosusBillable
- G43.819Other migraine, intractable, without status migrainosusBillable
- G43.82Menstrual migraine, not intractableHeader
Inclusion terms 6, Code also 1
Inclusion terms
- Menstrual headache, not intractable
- Menstrual migraine, without refractory migraine
- Menstrually related migraine, not intractable
- Pre-menstrual headache, not intractable
- Pre-menstrual migraine, not intractable
- Pure menstrual migraine, not intractable
Code also
- associated premenstrual tension syndrome (N94.3) N94.3
- G43.821Menstrual migraine, not intractable, with status migrainosusBillable
- G43.829Menstrual migraine, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Menstrual migraine NOS
- G43.83Menstrual migraine, intractableHeader
Inclusion terms 6, Code also 1
Inclusion terms
- Menstrual headache, intractable
- Menstrual migraine, with refractory migraine
- Menstrually related migraine, intractable
- Pre-menstrual headache, intractable
- Pre-menstrual migraine, intractable
- Pure menstrual migraine, intractable
Code also
- associated premenstrual tension syndrome (N94.3) N94.3
- G43.831Menstrual migraine, intractable, with status migrainosusBillable
- G43.839Menstrual migraine, intractable, without status migrainosusBillable
- G43.9Migraine, unspecifiedHeader
- G43.90Migraine, unspecified, not intractableHeader
Inclusion terms 1
Inclusion terms
- Migraine, unspecified, without refractory migraine
- G43.901Migraine, unspecified, not intractable, with status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Status migrainosus NOS
- G43.909Migraine, unspecified, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Migraine NOS
- G43.91Migraine, unspecified, intractableHeader
Inclusion terms 1
Inclusion terms
- Migraine, unspecified, with refractory migraine
- G43.911Migraine, unspecified, intractable, with status migrainosusBillable
- G43.919Migraine, unspecified, intractable, without status migrainosusBillable
- G43.E
- G43.E0Chronic migraine with aura, not intractableHeader
Inclusion terms 1
Inclusion terms
- Chronic migraine with aura, without refractory migraine
- G43.E01Chronic migraine with aura, not intractable, with status migrainosusBillable
- G43.E09Chronic migraine with aura, not intractable, without status migrainosusBillable
Inclusion terms 1
Inclusion terms
- Chronic migraine with aura NOS
- G43.E1Chronic migraine with aura, intractableHeader
Inclusion terms 1
Inclusion terms
- Chronic migraine with aura, with refractory migraine
- G43.E11Chronic migraine with aura, intractable, with status migrainosusBillable
- G43.E19Chronic migraine with aura, intractable, without status migrainosusBillable
CC/MCC: as a secondary diagnosis, unless the principal diagnosis is on the code’s PDX exclusion list (MS-DRG v44 Appendix C; list on the code card).
Instructions
At G43
Notes
- the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Excludes1
- lower half migraine (G44.00) G44.00
Notes that also apply
Chapter 6 instructions (Excludes2 8): printed on the chapter 6 page.
Index entries
- Cyclical vomiting, in migraine, → G43.A0
- Migraine (idiopathic) → G43.909
- Migraine (idiopathic)›without aura → G43.009
- Migraine (idiopathic)›with aura (acute-onset) (prolonged) (typical) (without headache) → G43.109
- Migraine (idiopathic)›complicated → G43.109
- Migraine (idiopathic)›hemiplegic → G43.409
- Vomiting›cyclical, in migraine, → G43.A0
- Migraine (idiopathic)›ophthalmoplegic → G43.B0
- Headache›periodic syndromes in adults and children → G43.C0
- Migraine (idiopathic)›abdominal → G43.D0
- Migraine (idiopathic)›specified NEC → G43.809
- Migraine (idiopathic)›menstrual → G43.829
- Headache›migraine (type) → G43.909
- Hemicrania›meaning migraine → G43.909
- Migraine (idiopathic)›not intractable → G43.909
- Migraine (idiopathic)›without refractory migraine → G43.909
- Syndrome›migraine → G43.909-
- Migraine (idiopathic)›with refractory migraine → G43.919
- Migraine (idiopathic)›intractable → G43.919
- Migraine (idiopathic)›without aura›without mention of refractory migraine → G43.009
- Migraine (idiopathic)›without aura›with refractory migraine → G43.019
- Migraine (idiopathic)›with aura (acute-onset) (prolonged) (typical) (without headache)›not intractable → G43.109
- Migraine (idiopathic)›with aura (acute-onset) (prolonged) (typical) (without headache)›without mention of refractory migraine → G43.109
- Migraine (idiopathic)›with aura (acute-onset) (prolonged) (typical) (without headache)›with refractory migraine → G43.119
- Migraine (idiopathic)›with aura (acute-onset) (prolonged) (typical) (without headache)›intractable → G43.119
- Migraine (idiopathic)›hemiplegic›not intractable → G43.409
- Migraine (idiopathic)›hemiplegic›without refractory migraine → G43.409
- Migraine (idiopathic)›hemiplegic›with refractory migraine → G43.419
- Migraine (idiopathic)›hemiplegic›intractable → G43.419
- Migraine (idiopathic)›with aura (acute-onset) (prolonged) (typical) (without headache)›persistent → G43.509
- Migraine (idiopathic)›without aura›chronic → G43.709
- Vomiting›cyclical, in migraine,›not intractable → G43.A0
- Vomiting›cyclical, in migraine,›without refractory migraine → G43.A0
- Vomiting›cyclical, in migraine,›with refractory migraine → G43.A1
- Vomiting›cyclical, in migraine,›intractable → G43.A1
- Migraine (idiopathic)›ophthalmoplegic›not intractable → G43.B0
- Migraine (idiopathic)›ophthalmoplegic›without refractory migraine → G43.B0
- Migraine (idiopathic)›ophthalmoplegic›with refractory migraine → G43.B1
- Migraine (idiopathic)›ophthalmoplegic›intractable → G43.B1
- Headache›periodic syndromes in adults and children›not intractable → G43.C0
104 more, longer entries are not listed; the search box finds them by word.
NCHS Alphabetic Index. Index first, then the Tabular List.