2020 ICD-10-CM Diagnosis Code G43.911

Migraine, unspecified, intractable, with status migrainosus

    2016 2017 2018 2019 2020 Billable/Specific Code
  • G43.911 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2020 edition of ICD-10-CM G43.911 became effective on October 1, 2019.
  • This is the American ICD-10-CM version of G43.911 - other international versions of ICD-10 G43.911 may differ.
The following code(s) above G43.911 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to G43.911:
  • G00-G99
    2020 ICD-10-CM Range G00-G99

    Diseases of the nervous system

    Type 2 Excludes
    • certain conditions originating in the perinatal period (P04-P96)
    • certain infectious and parasitic diseases (A00-B99)
    • complications of pregnancy, childbirth and the puerperium (O00-O9A)
    • congenital malformations, deformations, and chromosomal abnormalities (Q00-Q99)
    • endocrine, nutritional and metabolic diseases (E00-E88)
    • injury, poisoning and certain other consequences of external causes (S00-T88)
    • neoplasms (C00-D49)
    • symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R94)
    Diseases of the nervous system
  • G43
    ICD-10-CM Diagnosis Code G43

    Migraine

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Note
    • the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
    Type 1 Excludes
    • headache NOS (R51)
    • lower half migraine (G44.00)
    Type 2 Excludes
    • headache syndromes (G44.-)
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    Migraine
  • G43.91
    ICD-10-CM Diagnosis Code G43.91

    Migraine, unspecified, intractable

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Applicable To
    • Migraine, unspecified, with refractory migraine
    Migraine, unspecified, intractable
Approximate Synonyms
  • Migraine, with status migrainosus, intractable
ICD-10-CM G43.911 is grouped within Diagnostic Related Group(s) (MS-DRG v37.0):
  • 102 Headaches with mcc
  • 103 Headaches without mcc

Convert G43.911 to ICD-9-CM

Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change

Diagnosis Index entries containing back-references to G43.911:
  • Migraine (idiopathic) G43.909
    ICD-10-CM Diagnosis Code G43.909

    Migraine, unspecified, not intractable, without status migrainosus

      2016 2017 2018 2019 2020 Billable/Specific Code
    Applicable To
    • Migraine NOS
    • with refractory migraine G43.919
      ICD-10-CM Diagnosis Code G43.919

      Migraine, unspecified, intractable, without status migrainosus

        2016 2017 2018 2019 2020 Billable/Specific Code
      • with status migrainosus G43.911
    • intractable G43.919
      ICD-10-CM Diagnosis Code G43.919

      Migraine, unspecified, intractable, without status migrainosus

        2016 2017 2018 2019 2020 Billable/Specific Code
      • with status migrainosus G43.911

ICD-10-CM Codes Adjacent To G43.911
G43.821 …… with status migrainosus
G43.829 …… without status migrainosus
G43.83 Menstrual migraine, intractable
G43.831 …… with status migrainosus
G43.839 …… without status migrainosus
G43.9 Migraine, unspecified
G43.90 Migraine, unspecified, not intractable
G43.901 …… with status migrainosus
G43.909 …… without status migrainosus
G43.91 Migraine, unspecified, intractable
G43.911 …… with status migrainosus
G43.919 …… without status migrainosus
G44 Other headache syndromes
G44.0 Cluster headaches and other trigeminal autonomic cephalgias (TAC)
G44.00 Cluster headache syndrome, unspecified
G44.001 …… intractable
G44.009 …… not intractable
G44.01 Episodic cluster headache
G44.011 …… intractable
G44.019 …… not intractable
G44.02 Chronic cluster headache

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.