Facebook tracking pixel

G43: ICD10 Code for Migraine

Dr. Claire Dave

A physician with over 10 years of clinical experience, she leads AI-driven care automation initiatives at S10.AI to streamline healthcare delivery.

TL;DR Quickly find the correct ICD-10 code for migraine with and without aura (G43.0, G43.1, G43.8...). Includes coding tips, documentation guidelines, and common comorbidities for accurate billing and diagnosis.
Expert Verified

What is the ICD-10 Code for Migraine Without Aura?

The ICD-10 code for migraine without aura is G43.0. This is the most common type of migraine and is characterized by a severe, throbbing headache, often accompanied by nausea, vomiting, and sensitivity to light and sound. The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) provides specific codes for different migraine presentations to ensure accurate diagnosis tracking and billing. Explore how ICD-10 codes are used for public health surveillance on the CDC website.

How Do I Code for Migraine With Aura in ICD-10?

Migraine with aura is coded as G43.1 in ICD-10. An aura is a sensory disturbance that precedes the headache, often involving visual phenomena such as flashing lights, blind spots, or zig-zag lines. Other aura symptoms can include tingling or numbness in the face or limbs. Accurate coding differentiates migraine with aura from migraine without aura and is essential for proper clinical documentation. Learn more about aura symptoms and migraine diagnosis from the American Migraine Foundation.

ICD-10 Code for Migraine with Status Migrainosus: What to Use?

Status migrainosus, a severe and prolonged migraine attack lasting over 72 hours, is coded as G43.11 in ICD-10. This condition requires prompt and aggressive treatment and is often managed in a hospital setting. The distinction between status migrainosus and other migraine types highlights the importance of precise coding for effective treatment and resource allocation. Consider implementing standardized protocols for managing status migrainosus based on guidelines from the American Headache Society.

How Do I Document Chronic Migraine in ICD-10 for Billing and Reimbursement?

Chronic migraine is coded as G43.41 in ICD-10. This diagnosis requires at least 15 headache days per month, with at least 8 of those days meeting criteria for migraine. Proper documentation of headache frequency, associated symptoms, and disability is crucial for accurate coding and successful reimbursement. Explore the resources provided by the Centers for Medicare & Medicaid Services for specific billing guidelines related to chronic migraine.

Can AI Scribes Like S10.AI Help with Accurate ICD-10 Coding for Migraines?

AI-powered scribes, such as S10.AI, can assist clinicians with accurate ICD-10 coding for migraines by automatically extracting relevant information from clinical documentation and suggesting appropriate codes. This can reduce administrative burden and improve coding accuracy, ultimately streamlining billing and reimbursement processes. Learn more about how S10.AI integrates with existing EHR systems to enhance clinical workflows.

ICD-10 Coding for Hemiplegic Migraine: What’s the Correct Code?

Hemiplegic migraine, a rare subtype characterized by temporary weakness or paralysis on one side of the body, is coded as G43.81 (for hemiplegic migraine without aura) or G43.82 (for hemiplegic migraine with aura). The precise coding for this complex condition underscores the importance of detailed clinical documentation capturing the specific neurological manifestations. Consider implementing specialized diagnostic criteria for hemiplegic migraine based on information from the National Institute of Neurological Disorders and Stroke.

What’s the Difference Between G43.2 and G43.3 in ICD-10 Migraine Coding?

G43.2 refers to complicated migraine, while G43.3 represents ophthalmoplegic migraine. Complicated migraine involves persistent neurological deficits, whereas ophthalmoplegic migraine is characterized by weakness or paralysis of the eye muscles. These distinct conditions require specific ICD-10 codes for accurate documentation and clinical management. Explore how differential diagnosis of these migraine subtypes impacts treatment strategies outlined by the World Health Organization.

Migraine with Brainstem Aura ICD-10: How to Code It?

Migraine with brainstem aura, also known as basilar migraine, is coded as G43.83 in ICD-10. This subtype involves neurological symptoms originating in the brainstem, such as dizziness, vertigo, and double vision. Accurate coding is essential for distinguishing this condition from other migraine variants. Learn more about the diagnostic criteria and management of basilar migraine from the Mayo Clinic.

How Can Universal EHR Integration Improve ICD-10 Coding Accuracy for Migraines?

Universal EHR integration can significantly improve ICD-10 coding accuracy for migraines by enabling seamless data exchange between different healthcare systems. This allows clinicians to access complete patient histories and ensure consistent coding practices. Explore how S10.AI facilitates universal EHR integration to enhance clinical documentation and coding accuracy across different platforms.

Coding for Abdominal Migraine in Children: What's the ICD-10 Code?

Abdominal migraine, a type of migraine affecting children, is coded as G43.84. Characterized by recurrent episodes of abdominal pain, nausea, and vomiting, accurate coding is crucial for distinguishing this condition from other gastrointestinal disorders. Consider implementing diagnostic criteria for abdominal migraine based on guidelines from professional pediatric organizations like the American Academy of Pediatrics.

Comparing G43.0 and G43.9 in ICD-10: Migraine Coding Nuances.

G43.0 signifies migraine without aura, while G43.9 represents unspecified migraine. The latter is used when the migraine presentation doesn't fit specific criteria for other subtypes. Understanding these nuances is crucial for accurate coding and reflects best practices in clinical documentation. Explore detailed ICD-10 coding guidelines from the National Center for Health Statistics.

ICD-10 Code Migraine Type
G43.0 Migraine without aura
G43.1 Migraine with aura
G43.11 Status migrainosus
G43.41 Chronic migraine
G43.81 Hemiplegic migraine without aura
G43.82 Hemiplegic migraine with aura
G43.2 Complicated migraine
G43.3 Ophthalmoplegic migraine
G43.83 Migraine with brainstem aura (Basilar migraine)
G43.84 Abdominal migraine
G43.9 Unspecified migraine

Practice Readiness Assessment

Is Your Practice Ready for Next-Gen AI Solutions?

People also ask

When documenting a migraine diagnosis in my EHR, what are the specific ICD-10 codes for migraine with and without aura, and how can AI scribes assist with accurate coding?

G43.0 is the ICD-10 code for migraine without aura (common migraine), while G43.1 signifies migraine with aura (classic migraine). Other G43 codes specify complications like ophthalmoplegic migraine (G43.81) or persistent aura without infarction (G43.82). Accurately distinguishing and documenting these variations is crucial for patient care and appropriate billing. AI scribes, through universal EHR integration, can analyze clinical documentation in real-time and suggest the most specific and appropriate ICD-10 code for each migraine presentation, minimizing coding errors and improving documentation efficiency. Explore how AI scribes can enhance your migraine coding accuracy and reduce administrative burden.

How do I differentiate between G43.0 (migraine without aura) and G43.1 (migraine with aura) in my clinical documentation for accurate ICD-10 coding, and can AI assist with this process?

The key difference lies in the presence or absence of aura symptoms preceding the headache phase. Aura typically involves visual disturbances (e.g., flashing lights, blind spots) or sensory changes (e.g., tingling, numbness). Thorough patient history-taking is essential. Document the specific aura symptoms experienced by the patient, if any, and their duration. This detailed documentation facilitates accurate ICD-10 coding and informs treatment decisions. AI-powered EHR integration can prompt clinicians to document these specific symptoms during patient encounters, ensuring appropriate distinction between G43.0 and G43.1 and supporting more precise billing. Consider implementing AI-powered tools to enhance the accuracy and efficiency of your migraine documentation.

Beyond G43.0 and G43.1, what other ICD-10 codes within the G43 category should I be aware of for comprehensive migraine documentation, and how can universal EHR-integrated AI improve my coding practices?

While G43.0 and G43.1 are the most common, other G43 codes capture specific migraine subtypes and complications. For example, G43.2 designates status migrainosus (a severe and prolonged migraine attack), G43.3 describes cyclical vomiting syndrome, which can be related to migraine, and G43.8 includes other specified migraine types. Familiarizing yourself with these codes is crucial for complete and accurate documentation. Universal EHR-integrated AI agents can analyze patient data and suggest the most appropriate G43 code based on the documented symptoms and history, ensuring more accurate and comprehensive coding than manual selection alone. Learn more about how universal EHR integration with AI agents can elevate the precision of your migraine coding and streamline your workflow.

Do you want to save hours in documentation?

Hey, we're s10.ai. We're determined to make healthcare professionals more efficient. Take our Practice Efficiency Assessment to see how much time your practice could save. Our only question is, will it be your practice?

S10
About s10.ai
AI-powered efficiency for healthcare practices

We help practices save hours every week with smart automation and medical reference tools.

+200 Specialists

Employees

4 Countries

Operating across the US, UK, Canada and Australia
Our Clients

We work with leading healthcare organizations and global enterprises.

• Primary Care Center of Clear Lake• Medical Office of Katy• Doctors Studio• Primary care associates
Real-World Results
30% revenue increase & 90% less burnout with AI Medical Scribes
75% faster documentation and 15% more revenue across practices
Providers earning +$5,311/month and saving $20K+ yearly in admin costs
100% accuracy in Nordic languages
Contact Us
Ready to transform your workflow? Book a personalized demo today.
Calculate Your ROI
See how much time and money you could save with our AI solutions.
G43: ICD10 Code for Migraine