G43
Migraine
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
- lower half migraine (G44.00)
Excludes2
Not included here. Both codes may be reported if the patient has both conditions.
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
- G43.0Migraine without auraHeader
- G43.1Migraine with auraHeader
- G43.4Hemiplegic migraineHeader
- G43.5Persistent migraine aura without cerebral infarctionHeader
- G43.6Persistent migraine aura with cerebral infarctionHeader
- G43.7Chronic migraine without auraHeader
- G43.ACyclical vomitingHeader
- G43.BOphthalmoplegic migraineHeader
- G43.CPeriodic headache syndromes in child or adultHeader
- G43.DAbdominal migraineHeader
- G43.8Other migraineHeader
- G43.9Migraine, unspecifiedHeader
- G43.EChronic migraine with auraHeader