G43.C0
G43.C0: Periodic headache syndromes in child or adult, not intractable
Billable / specific codeICD-10-CM
G43.C0 is a billable, specific ICD-10-CM code for periodic headache syndromes in child or adult, not intractable. It is valid for submission on a claim.
Check G43.C0 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Periodic headache syndromes in child or adult, without refractory migraine
Excludes1 inherited from the categories above G43.C0
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above G43.C0
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.C0 is named in 21 Medicare coverage policies: 21 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A53057Billing and Coding: Home Health Occupational Therapy
- A56273Billing and Coding: Chiropractic Services
- A56551Billing and Coding: Visual Fields Testing
- A56612Billing and Coding: CT of the Head
Alphabetic index entries that lead here
- Headache›periodic syndromes in adults and children
- Headache›periodic syndromes in adults and children›not intractable
- Headache›periodic syndromes in adults and children›without refractory migraine
Code history
Unchanged in every release from FY2024 to FY2027.