G43.5
G43.5 — Persistent migraine aura without cerebral infarction
Non-billable headerICD-10-CM
G43.5 is a non-billable header ICD-10-CM code for persistent migraine aura without cerebral infarction. It cannot be billed on its own: choose one of the more specific child codes below.
Other codes that can never be billed with G43.5
These codes carry an Excludes1 note pointing at G43.5. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading G43.5 alone.
- G43.1Migraine with aura
Risk adjustment
G43.5 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead G43.5
2 child codes. Green means billable.
Related codes at this level
Codes that share G43. If G43.5 is not quite right, the correct code is usually one of these.
- G43.0Migraine without aura
- G43.1Migraine with aura
- G43.4Hemiplegic migraine
- G43.6Persistent migraine aura with cerebral infarction
- G43.7Chronic migraine without aura
- G43.ACyclical vomiting
- G43.BOphthalmoplegic migraine
- G43.CPeriodic headache syndromes in child or adult
- G43.DAbdominal migraine
- G43.8Other migraine
- G43.9Migraine, unspecified
- G43.EChronic migraine with aura
Questions about G43.5
- Is G43.5 a billable ICD-10-CM code?
- No. G43.5 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does G43.5 sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Episodic and paroxysmal disorders (G40-G47).