G43

ICD-10Non-billable category

Migraine

Official ICD-10-CM descriptor (FY2026)

Migraine

G43 is a category heading, not a billable code. CMS does not accept it on a claim; report one of the more specific codes beneath it.

Excludes1

Not coded here. An Excludes1 code should never be reported at the same time as the code above it.

  • headache NOS (R51.9)
  • lower half migraine (G44.00)

Excludes2

Not included here. The condition is not part of this code, but a patient may have both, and both codes may be reported together.

  • headache syndromes (G44.-)

Use additional code

Report an additional code to identify the associated condition.

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

Notes

  • 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

Where this code sits

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Source

ICD-10-CM FY2026. Centers for Medicare & Medicaid Services (CMS) / National Center for Health Statistics (NCHS), “2026 ICD-10-CM Code Descriptions in Tabular Order (icd10cm_order_2026.txt). Download the original file from cms.gov. Public domain (US Government work). Descriptors, billable flags and instructional notes on this page are reproduced from that file without modification. Krasyn adds no clinical guidance.

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