ICD-10 · PDGM grouping
G43 Migraine
All 48 codes in the G43 family, with the PDGM clinical group, comorbidity subgroup and primary-position rule CMS assigns, read from the CMS grouper crosswalk v07.2.26 and the CDC FY2027 code file.
ICD-10-CM FY2027 · CMS grouper v07.2.26
Codes in family
48
Can lead a claim
48
Cannot lead a claim
0
What CMS assigns to G43
All 48 codes group to MMTA - Other. None of the 48 is assigned a comorbidity subgroup. Every code can lead a claim.
Every code in G43
Descriptions are CDC’s FY2027 wording; where CMS’s grouper abbreviates one, its form is shown beneath.
| Code | Description | Primary position | Clinical group | Comorbidity subgroup |
|---|---|---|---|---|
| G43.0 Migraine without aura | ||||
| G43.00 Migraine without aura, not intractable | ||||
| G43.001 | Migraine without aura, not intractable, with status migrainosusCMS: Migraine w/o aura, not intractable, with status migrainosus | Can lead a claim | A | None |
| G43.009 | Migraine without aura, not intractable, without status migrainosusCMS: Migraine w/o aura, not intractable, w/o status migrainosus | Can lead a claim | A | None |
| G43.01 Migraine without aura, intractable | ||||
| G43.011 | Migraine without aura, intractable, with status migrainosus | Can lead a claim | A | None |
| G43.019 | Migraine without aura, intractable, without status migrainosusCMS: Migraine w/o aura, intractable, without status migrainosus | Can lead a claim | A | None |
| G43.1 Migraine with aura | ||||
| G43.10 Migraine with aura, not intractable | ||||
| G43.101 | Migraine with aura, not intractable, with status migrainosus | Can lead a claim | A | None |
| G43.109 | Migraine with aura, not intractable, without status migrainosusCMS: Migraine with aura, not intractable, w/o status migrainosus | Can lead a claim | A | None |
| G43.11 Migraine with aura, intractable | ||||
| G43.111 | Migraine with aura, intractable, with status migrainosus | Can lead a claim | A | None |
| G43.119 | Migraine with aura, intractable, without status migrainosus | Can lead a claim | A | None |
| G43.4 Hemiplegic migraine | ||||
| G43.40 Hemiplegic migraine, not intractable | ||||
| G43.401 | Hemiplegic migraine, not intractable, with status migrainosusCMS: Hemiplegic migraine, not intractable, w status migrainosus | Can lead a claim | A | None |
| G43.409 | Hemiplegic migraine, not intractable, without status migrainosusCMS: Hemiplegic migraine, not intractable, w/o status migrainosus | Can lead a claim | A | None |
| G43.41 Hemiplegic migraine, intractable | ||||
| G43.411 | Hemiplegic migraine, intractable, with status migrainosus | Can lead a claim | A | None |
| G43.419 | Hemiplegic migraine, intractable, without status migrainosus | Can lead a claim | A | None |
| G43.5 Persistent migraine aura without cerebral infarction | ||||
| G43.50 Persistent migraine aura without cerebral infarction, not intractable | ||||
| G43.501 | Persistent migraine aura without cerebral infarction, not intractable, with status migrainosusCMS: Perst migraine aura w/o cereb infrc, not ntrct, w stat migr | Can lead a claim | A | None |
| G43.509 | Persistent migraine aura without cerebral infarction, not intractable, without status migrainosusCMS: Perst migrn aura w/o cereb infrc, not ntrct, w/o stat migr | Can lead a claim | A | None |
| G43.51 Persistent migraine aura without cerebral infarction, intractable | ||||
| G43.511 | Persistent migraine aura without cerebral infarction, intractable, with status migrainosusCMS: Perst migraine aura w/o cerebral infrc, ntrct, w stat migr | Can lead a claim | A | None |
| G43.519 | Persistent migraine aura without cerebral infarction, intractable, without status migrainosusCMS: Perst migraine aura w/o cerebral infrc, ntrct, w/o stat migr | Can lead a claim | A | None |
| G43.6 Persistent migraine aura with cerebral infarction | ||||
| G43.60 Persistent migraine aura with cerebral infarction, not intractable | ||||
| G43.601 | Persistent migraine aura with cerebral infarction, not intractable, with status migrainosusCMS: Perst migraine aura w cerebral infrc, not ntrct, w stat migr | Can lead a claim | A | None |
| G43.609 | Persistent migraine aura with cerebral infarction, not intractable, without status migrainosusCMS: Perst migraine aura w cereb infrc, not ntrct, w/o stat migr | Can lead a claim | A | None |
| G43.61 Persistent migraine aura with cerebral infarction, intractable | ||||
| G43.611 | Persistent migraine aura with cerebral infarction, intractable, with status migrainosusCMS: Perst migraine aura w cerebral infrc, ntrct, w stat migr | Can lead a claim | A | None |
| G43.619 | Persistent migraine aura with cerebral infarction, intractable, without status migrainosusCMS: Perst migraine aura w cerebral infrc, ntrct, w/o stat migr | Can lead a claim | A | None |
| G43.7 Chronic migraine without aura | ||||
| G43.70 Chronic migraine without aura, not intractable | ||||
| G43.701 | Chronic migraine without aura, not intractable, with status migrainosusCMS: Chronic migraine w/o aura, not intractable, w stat migr | Can lead a claim | A | None |
| G43.709 | Chronic migraine without aura, not intractable, without status migrainosusCMS: Chronic migraine w/o aura, not intractable, w/o stat migr | Can lead a claim | A | None |
| G43.71 Chronic migraine without aura, intractable | ||||
| G43.711 | Chronic migraine without aura, intractable, with status migrainosusCMS: Chronic migraine w/o aura, intractable, w status migrainosus | Can lead a claim | A | None |
| G43.719 | Chronic migraine without aura, intractable, without status migrainosusCMS: Chronic migraine w/o aura, intractable, w/o stat migr | Can lead a claim | A | None |
| G43.A Cyclical vomiting | ||||
| G43.A0 | Cyclical vomiting, in migraine, not intractable | Can lead a claim | A | None |
| G43.A1 | Cyclical vomiting, in migraine, intractable | Can lead a claim | A | None |
| G43.B Ophthalmoplegic migraine | ||||
| G43.B0 | Ophthalmoplegic migraine, not intractable | Can lead a claim | A | None |
| G43.B1 | Ophthalmoplegic migraine, intractable | Can lead a claim | A | None |
| G43.C Periodic headache syndromes in child or adult | ||||
| G43.C0 | Periodic headache syndromes in child or adult, not intractableCMS: Periodic headache syndromes in chld/adlt, not intractable | Can lead a claim | A | None |
| G43.C1 | Periodic headache syndromes in child or adult, intractable | Can lead a claim | A | None |
| G43.D Abdominal migraine | ||||
| G43.D0 | Abdominal migraine, not intractable | Can lead a claim | A | None |
| G43.D1 | Abdominal migraine, intractable | Can lead a claim | A | None |
| G43.8 Other migraine | ||||
| G43.80 Other migraine, not intractable | ||||
| G43.801 | Other migraine, not intractable, with status migrainosus | Can lead a claim | A | None |
| G43.809 | Other migraine, not intractable, without status migrainosus | Can lead a claim | A | None |
| G43.81 Other migraine, intractable | ||||
| G43.811 | Other migraine, intractable, with status migrainosus | Can lead a claim | A | None |
| G43.819 | Other migraine, intractable, without status migrainosus | Can lead a claim | A | None |
| G43.82 Menstrual migraine, not intractable | ||||
| G43.821 | Menstrual migraine, not intractable, with status migrainosus | Can lead a claim | A | None |
| G43.829 | Menstrual migraine, not intractable, without status migrainosusCMS: Menstrual migraine, not intractable, w/o status migrainosus | Can lead a claim | A | None |
| G43.83 Menstrual migraine, intractable | ||||
| G43.831 | Menstrual migraine, intractable, with status migrainosus | Can lead a claim | A | None |
| G43.839 | Menstrual migraine, intractable, without status migrainosus | Can lead a claim | A | None |
| G43.9 Migraine, unspecified | ||||
| G43.90 Migraine, unspecified, not intractable | ||||
| G43.901 | Migraine, unspecified, not intractable, with status migrainosusCMS: Migraine, unsp, not intractable, with status migrainosus | Can lead a claim | A | None |
| G43.909 | Migraine, unspecified, not intractable, without status migrainosusCMS: Migraine, unsp, not intractable, without status migrainosus | Can lead a claim | A | None |
| G43.91 Migraine, unspecified, intractable | ||||
| G43.911 | Migraine, unspecified, intractable, with status migrainosus | Can lead a claim | A | None |
| G43.919 | Migraine, unspecified, intractable, without status migrainosusCMS: Migraine, unsp, intractable, without status migrainosus | Can lead a claim | A | None |
| G43.E Chronic migraine with aura | ||||
| G43.E0 Chronic migraine with aura, not intractable | ||||
| G43.E01 | Chronic migraine with aura, not intractable, with status migrainosusCMS: Chronic migraine with aura, not intractable, with stat migr | Can lead a claim | A | None |
| G43.E09 | Chronic migraine with aura, not intractable, without status migrainosusCMS: Chronic migraine with aura, not ntrct, without stat migr | Can lead a claim | A | None |
| G43.E1 Chronic migraine with aura, intractable | ||||
| G43.E11 | Chronic migraine with aura, intractable, with status migrainosusCMS: Chronic migraine with aura, intractable, with stat migr | Can lead a claim | A | None |
| G43.E19 | Chronic migraine with aura, intractable, without status migrainosusCMS: Chronic migraine with aura, intractable, without stat migr | Can lead a claim | A | None |
Sources: CMS HH PPS Grouper Software v07.2.26, effective 2026-10-01, for the clinical group, comorbidity subgroup, code-first conventions and primary-position flags; CDC NCHS ICD-10-CM FY2027 code descriptions for the family title and code wording. This is the crosswalk Medicare runs a claim through. Grouping also depends on admission source, timing, the OASIS functional items and the rest of the diagnosis list.
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