G43.1
Non-Billable

Migraine with aura

Non-Billable / Non-Specific Code

What is Migraine with aura?

ICD-10-CM G43.1 is the diagnosis code for Migraine with aura. This code falls under the section "Episodic and paroxysmal disorders" within Chapter 6 — Diseases of the nervous system (G00-G99). It is a non-billable/non-specific ICD-10-CM code that should not be used for reimbursement. A more specific sub-code is required for billing. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.

💡 Inclusions
⛔ Excludes1

Coding Guidelines for G43.1

✅ This Code Includes

  • 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

⛔ Type 1 Excludes (Never code together)

The following conditions should never be coded at the same time as G43.1. They are mutually exclusive:

  • chronic migraine with aura (G43.E-)
  • persistent migraine aura (G43.5-, G43.6-)

ICD-10-CM Code Hierarchy

Understanding where G43.1 sits in the ICD-10-CM classification helps ensure proper coding:

Parent CodeG43 — Migraine
Current CodeG43.1 — Migraine with aura
Sub-Codes (2)
Sub-Codes 2 entries
G43.10Migraine with aura, not intractableNon-BillableG43.101Migraine with aura, not intractable, with status migrainosusBillableG43.109Migraine with aura, not intractable, without status migrainosusBillableG43.11Migraine with aura, intractableNon-BillableG43.111Migraine with aura, intractable, with status migrainosusBillableG43.119Migraine with aura, intractable, without status migrainosusBillable
Related Codes

Frequently Asked Questions

Is G43.1 a billable ICD-10-CM code?

No, G43.1 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does G43.1 mean?

G43.1 is the ICD-10-CM diagnosis code for "Migraine with aura". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of G43.1?

The parent code of G43.1 is G43 ("Migraine"). G43.1 provides a more specific classification within this category.

What section is G43.1 in?

G43.1 is located in Section G40-G47 — "Episodic and paroxysmal disorders" within Chapter 6 of the ICD-10-CM Tabular List.

What are the sub-codes of G43.1?

G43.1 has 2 sub-code(s) that provide more specific detail: G43.10, G43.11.

When should I use G43.1?

Use G43.1 when the patients documented diagnosis matches "Migraine with aura" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.

People Also Ask

What is the ICD-10 code for Migraine with aura?

The ICD-10-CM code for Migraine with aura is G43.1.

Can G43.1 be used for primary diagnosis?

No, G43.1 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is G43.1 in?

G43.1 is in Chapter 6 of the ICD-10-CM Tabular List.

What conditions are excluded from G43.1?

Type 1 Excludes for G43.1 include: chronic migraine with aura (G43.E-); persistent migraine aura (G43.5-, G43.6-).

Is G43.1 valid for 2026?

Yes, G43.1 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousG43.019Migraine without aura, intractable, without status migrainosusNext →G43.10Migraine with aura, not intractable
Code Details
G43.1
Migraine with aura
Non-Billable / Non-Specific Code
6 — Diseases of the nervous system (G00-G99)
G40-G47 — Episodic and paroxysmal disorders
2026 ICD-10-CM