G43.4
Non-Billable

Hemiplegic migraine

Non-Billable / Non-Specific Code

What is Hemiplegic migraine?

ICD-10-CM G43.4 is the diagnosis code for Hemiplegic 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.

💡 Inclusions

Coding Guidelines for G43.4

✅ This Code Includes

  • Familial migraine
  • Sporadic migraine

ICD-10-CM Code Hierarchy

Understanding where G43.4 sits in the ICD-10-CM classification helps ensure proper coding:

Parent CodeG43 — Migraine
Current CodeG43.4 — Hemiplegic migraine
Sub-Codes (2)
Sub-Codes 2 entries
G43.40Hemiplegic 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 migrainosusBillable
Related Codes

Frequently Asked Questions

Is G43.4 a billable ICD-10-CM code?

No, G43.4 is a non-billable/non-specific code. You should use a more specific sub-code for billing and reimbursement.

What does G43.4 mean?

G43.4 is the ICD-10-CM diagnosis code for "Hemiplegic migraine". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.

What is the parent code of G43.4?

The parent code of G43.4 is G43 ("Migraine"). G43.4 provides a more specific classification within this category.

What section is G43.4 in?

G43.4 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 G43.4?

G43.4 has 2 sub-code(s) that provide more specific detail: G43.40, G43.41.

When should I use G43.4?

Use G43.4 when the patients documented diagnosis matches "Hemiplegic 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 Hemiplegic migraine?

The ICD-10-CM code for Hemiplegic migraine is G43.4.

Can G43.4 be used for primary diagnosis?

No, G43.4 is non-billable. Use a more specific sub-code for primary diagnosis billing.

What chapter is G43.4 in?

G43.4 is in Chapter 6 of the ICD-10-CM Tabular List.

Is G43.4 valid for 2026?

Yes, G43.4 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.

See Also

← PreviousG43.119Migraine with aura, intractable, without status migrainosusNext →G43.40Hemiplegic migraine, not intractable
Code Details
G43.4
Hemiplegic migraine
Non-Billable / Non-Specific Code
6 — Diseases of the nervous system (G00-G99)
G40-G47 — Episodic and paroxysmal disorders
2026 ICD-10-CM