ICD-10-CM › G00-G99 › G40-G47 › G43 Migraine › G43.C

G43.C

Periodic headache syndromes in child or adult

Not billableICD-10-CM diagnosis code.

This code exists but cannot be submitted on its own. It groups the more specific codes beneath it.

A category header for its whole life, FY2016 onwards. It has never been valid for submission on its own.

Submit one of these 2 more specific codes instead:

  • G43.C0 Periodic headache syndromes in child or adult, not intractable
  • G43.C1 Periodic headache syndromes in child or adult, intractable

What has happened to this code

Every change the publisher made, from 2012 to now. Entries marked draft are from the pre-implementation releases: ICD-10 took effect on 1 October 2015, so nothing before FY2016 was ever valid on a claim.

  1. FY2012 Added to the draft code set draft Periodic headache syndromes in child or adult

Official coding rules

Published by CDC for FY2027. A rule attached to a category binds every code beneath it, so the rules inherited from this code's ancestors are shown with the code they come from.

Inherited from G43 Migraine

Excludes1 - never coded here

  • lower half migraine (G44.00)

Excludes2 - not included here

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

Use additional code

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

Note

  • the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled

Codes in the same group

CodeDescriptionStatus
G43.0 Migraine without aura Not billable
G43.1 Migraine with aura Not billable
G43.4 Hemiplegic migraine Not billable
G43.5 Persistent migraine aura without cerebral infarction Not billable
G43.6 Persistent migraine aura with cerebral infarction Not billable
G43.7 Chronic migraine without aura Not billable
G43.8 Other migraine Not billable
G43.9 Migraine, unspecified Not billable
G43.A Cyclical vomiting Not billable
G43.B Ophthalmoplegic migraine Not billable
G43.D Abdominal migraine Not billable
G43.E Chronic migraine with aura Not billable