G43

Migraine

FY2027Chapter 6: Diseases of the nervous system/G40–G47 Episodic and paroxysmal disorders

Non-billable headerNot valid on its own. Use one of the more specific codes under it.

G43 is a non-billable ICD-10-CM code category for migraine. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are G43.0 Migraine without aura, G43.1 Migraine with aura, G43.4 Hemiplegic migraine, G43.5 Persistent migraine aura without cerebral infarction and 9 more. Its coding notes include a Use additional code instruction, 1 Excludes1 entry and 10 Excludes2 entries.

Use additional code

Add the listed code as a secondary code, if known.

This code
  • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Excludes1

Not coded here. The listed conditions generally should not be reported together.

This code

Excludes2

Not included here. Both codes may be reported if the patient has both conditions.

This code
Also from chapter/block level (8 notes)
Inherited from Chapter 6 Diseases of the nervous system
  • certain conditions originating in the perinatal period (P04-P96)
  • certain infectious and parasitic diseases (A00-B99)
  • complications of pregnancy, childbirth and the puerperium (O00-O9A)
  • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
  • endocrine, nutritional and metabolic diseases (E00-E88)
  • injury, poisoning and certain other consequences of external causes (S00-T88)
  • neoplasms (C00-D49)
  • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)

Notes

This code
  • the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled

More specific codes under G43 13