ICD-10-CM · G00–G99Billable

ICD-10-CM Code G43.409

Hemiplegic migraine, not intractable, without status migrainosus

Source: CMS ICD-10-CM FY2026Effective Reviewed by the D3rx Clinical Billing Team

Diagnosis information

Billable

Yes

Valid for claim submission

Chapter

G00–G99

Diseases of the nervous system

Risk adjustment

None

Not risk-adjustable (V28)

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More codes in the G43 category

Other billable ICD-10-CM codes in the same category as G43.409. Coding to the highest specificity the documentation supports is what keeps a claim clean — pick the child code that most precisely matches the diagnosis.

  • G43.001Migraine without aura, not intractable, with status migrainosus
  • G43.009Migraine without aura, not intractable, without status migrainosus
  • G43.011Migraine without aura, intractable, with status migrainosus
  • G43.019Migraine without aura, intractable, without status migrainosus
  • G43.101Migraine with aura, not intractable, with status migrainosus
  • G43.109Migraine with aura, not intractable, without status migrainosus
  • G43.111Migraine with aura, intractable, with status migrainosus
  • G43.119Migraine with aura, intractable, without status migrainosus
  • G43.401Hemiplegic migraine, not intractable, with status migrainosus
  • G43.411Hemiplegic migraine, intractable, with status migrainosus
  • G43.419Hemiplegic migraine, intractable, without status migrainosus
  • G43.501Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus

Documentation & coding notes

  • G43.409 is a billable/specific ICD-10-CM code — it can be reported as a primary or secondary diagnosis when the documentation supports it. Code to the highest level of specificity the record allows.
  • Always verify the code against the current ICD-10-CM Official Guidelines and the payer's coverage policy before submitting — coverage, medical necessity edits, and sequencing rules vary by payer.

Related G00–G99 codes

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Medical coding disclaimer

ICD-10-CM codes and descriptions shown are from the CMS FY2026 official code set and HCC mappings from the CMS-HCC V28 model (payment year 2026), shown for educational reference. Official Guidelines, payer coverage, medical-necessity edits, and sequencing rules vary. Always verify with the current ICD-10-CM Official Guidelines and the payer before submitting claims. D3rx is not responsible for coding or billing outcomes.