G43.C
G43.C — Periodic headache syndromes in child or adult
Non-billable headerICD-10-CM
G43.C is a non-billable header ICD-10-CM code for periodic headache syndromes in child or adult. It cannot be billed on its own: choose one of the more specific child codes below.
Risk adjustment
G43.C 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.C
2 child codes. Green means billable.
Related codes at this level
Codes that share G43. If G43.C is not quite right, the correct code is usually one of these.
- G43.0Migraine without aura
- G43.1Migraine with aura
- G43.4Hemiplegic migraine
- G43.5Persistent migraine aura without cerebral infarction
- G43.6Persistent migraine aura with cerebral infarction
- G43.7Chronic migraine without aura
- G43.ACyclical vomiting
- G43.BOphthalmoplegic migraine
- G43.DAbdominal migraine
- G43.8Other migraine
- G43.9Migraine, unspecified
- G43.EChronic migraine with aura
Questions about G43.C
- Is G43.C a billable ICD-10-CM code?
- No. G43.C is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does G43.C sit in the tabular list?
- Diseases of the nervous system (G00-G99), in the block Episodic and paroxysmal disorders (G40-G47).