G43
Non-Billable

Migraine

Non-Billable / Non-Specific Code

What is Migraine?

ICD-10-CM G43 is the diagnosis code for Migraine. 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.

⛔ Excludes1
â„šī¸ Excludes2

Coding Guidelines for G43

⛔ Type 1 Excludes (Never code together)

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

  • lower half migraine (G44.00)

â„šī¸ Type 2 Excludes (Code separately if applicable)

The following conditions are not included in G43. If the patient has both, code each condition separately:

  • headache NOS (R51.9)
  • headache syndromes (G44.-)

ICD-10-CM Code Hierarchy

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

Sub-Codes 13 entries
G43.0Migraine without auraNon-BillableG43.00Migraine without aura, not intractableNon-BillableG43.001Migraine without aura, not intractable, with status migrainosusBillableG43.009Migraine without aura, not intractable, without status migrainosusBillableG43.01Migraine without aura, intractableNon-BillableG43.011Migraine without aura, intractable, with status migrainosusBillableG43.019Migraine without aura, intractable, without status migrainosusBillableG43.1Migraine with auraNon-BillableG43.10Migraine 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 migrainosusBillableG43.4Hemiplegic migraineNon-BillableG43.40Hemiplegic migraine, not intractableNon-BillableG43.401Hemiplegic migraine, not intractable, with status migrainosusBillableG43.409Hemiplegic migraine, not intractable, without status migrainosusBillableG43.41Hemiplegic migraine, intractableNon-BillableG43.411Hemiplegic migraine, intractable, with status migrainosusBillableG43.419Hemiplegic migraine, intractable, without status migrainosusBillableG43.5Persistent migraine aura without cerebral infarctionNon-BillableG43.50Persistent migraine aura without cerebral infarction, not intractableNon-BillableG43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosusBillableG43.509Persistent migraine aura without cerebral infarction, not intractable, without status migrainosusBillableG43.51Persistent migraine aura without cerebral infarction, intractableNon-BillableG43.511Persistent migraine aura without cerebral infarction, intractable, with status migrainosusBillableG43.519Persistent migraine aura without cerebral infarction, intractable, without status migrainosusBillableG43.6Persistent migraine aura with cerebral infarctionNon-BillableG43.60Persistent migraine aura with cerebral infarction, not intractableNon-BillableG43.601Persistent migraine aura with cerebral infarction, not intractable, with status migrainosusBillableG43.609Persistent migraine aura with cerebral infarction, not intractable, without status migrainosusBillableG43.61Persistent migraine aura with cerebral infarction, intractableNon-BillableG43.611Persistent migraine aura with cerebral infarction, intractable, with status migrainosusBillableG43.619Persistent migraine aura with cerebral infarction, intractable, without status migrainosusBillableG43.7Chronic migraine without auraNon-BillableG43.70Chronic migraine without aura, not intractableNon-BillableG43.701Chronic migraine without aura, not intractable, with status migrainosusBillableG43.709Chronic migraine without aura, not intractable, without status migrainosusBillableG43.71Chronic migraine without aura, intractableNon-BillableG43.711Chronic migraine without aura, intractable, with status migrainosusBillableG43.719Chronic migraine without aura, intractable, without status migrainosusBillableG43.8Other migraineNon-BillableG43.80Other migraine, not intractableNon-BillableG43.801Other migraine, not intractable, with status migrainosusBillableG43.809Other migraine, not intractable, without status migrainosusBillableG43.81Other migraine, intractableNon-BillableG43.811Other migraine, intractable, with status migrainosusBillableG43.819Other migraine, intractable, without status migrainosusBillableG43.82Menstrual migraine, not intractableNon-BillableG43.821Menstrual migraine, not intractable, with status migrainosusBillableG43.829Menstrual migraine, not intractable, without status migrainosusBillableG43.83Menstrual migraine, intractableNon-BillableG43.831Menstrual migraine, intractable, with status migrainosusBillableG43.839Menstrual migraine, intractable, without status migrainosusBillableG43.9Migraine, unspecifiedNon-BillableG43.90Migraine, unspecified, not intractableNon-BillableG43.901Migraine, unspecified, not intractable, with status migrainosusBillableG43.909Migraine, unspecified, not intractable, without status migrainosusBillableG43.91Migraine, unspecified, intractableNon-BillableG43.911Migraine, unspecified, intractable, with status migrainosusBillableG43.919Migraine, unspecified, intractable, without status migrainosusBillableG43.ACyclical vomitingNon-BillableG43.A0Cyclical vomiting, in migraine, not intractableBillableG43.A1Cyclical vomiting, in migraine, intractableBillableG43.BOphthalmoplegic migraineNon-BillableG43.B0Ophthalmoplegic migraine, not intractableBillableG43.B1Ophthalmoplegic migraine, intractableBillableG43.CPeriodic headache syndromes in child or adultNon-BillableG43.C0Periodic headache syndromes in child or adult, not intractableBillableG43.C1Periodic headache syndromes in child or adult, intractableBillableG43.DAbdominal migraineNon-BillableG43.D0Abdominal migraine, not intractableBillableG43.D1Abdominal migraine, intractableBillableG43.EChronic migraine with auraNon-BillableG43.E0Chronic migraine with aura, not intractableNon-BillableG43.E01Chronic migraine with aura, not intractable, with status migrainosusBillableG43.E09Chronic migraine with aura, not intractable, without status migrainosusBillableG43.E1Chronic migraine with aura, intractableNon-BillableG43.E11Chronic migraine with aura, intractable, with status migrainosusBillableG43.E19Chronic migraine with aura, intractable, without status migrainosusBillable
Related Codes

Frequently Asked Questions

Is G43 a billable ICD-10-CM code?

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

What does G43 mean?

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

What section is G43 in?

G43 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?

G43 has 13 sub-code(s) that provide more specific detail: G43.0, G43.1, G43.4, G43.5, G43.6 and more.

When should I use G43?

Use G43 when the patients documented diagnosis matches "Migraine" 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?

The ICD-10-CM code for Migraine is G43.

Can G43 be used for primary diagnosis?

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

What chapter is G43 in?

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

What conditions are excluded from G43?

Type 1 Excludes for G43 include: lower half migraine (G44.00).

Is G43 valid for 2026?

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

See Also

← PreviousG40.C19Lafora progressive myoclonus epilepsy, intractable, without status epilepticusNext →G43.0Migraine without aura
Code Details
G43
Migraine
Non-Billable / Non-Specific Code
6 — Diseases of the nervous system (G00-G99)
G40-G47 — Episodic and paroxysmal disorders
2026 ICD-10-CM