G43.911
G43.911: Migraine, unspecified, intractable, with status migrainosus
Billable / specific codeICD-10-CM
G43.911 is a billable, specific ICD-10-CM code for migraine, unspecified, intractable, with status migrainosus. It is valid for submission on a claim.
Check G43.911 with the rest of the claim: free scrubberExcludes1 inherited from the categories above G43.911
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above G43.911
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
G43.911 is named in 16 Medicare coverage policies: 16 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
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- A57185Billing and Coding: Botulinum Toxin Injections
- A57186Billing and Coding: Botulinum Toxin Injections
Alphabetic index entries that lead here
- Migraine›intractable›with status migrainosus
- Migraine›with refractory migraine›with status migrainosus
Code history
Unchanged in every release from FY2024 to FY2027.