2022 ICD-10-CM Code G43.8

Other migraine

Version 2021

Not Valid for Submission

ICD-10:G43.8
Short Description:Other migraine
Long Description:Other migraine

Code Classification

  • Diseases of the nervous system (G00–G99)
    • Episodic and paroxysmal disorders (G40-G47)
      • Migraine (G43)

G43.8 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of other migraine. The code is not specific and is NOT valid for the year 2022 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

The code G43.8 is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). When this code is used as part of a patient's medical record the following Quality Measures might apply: Overuse Of Imaging For The Evaluation Of Primary Headache.

Specific Coding for Other migraine

Non-specific codes like G43.8 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10 codes with a higher level of specificity when coding for other migraine:

  • NON-BILLABLE CODE - G43.80 for Other migraine, not intractable
  • BILLABLE CODE - Use G43.801 for Other migraine, not intractable, with status migrainosus
  • BILLABLE CODE - Use G43.809 for Other migraine, not intractable, without status migrainosus
  • NON-BILLABLE CODE - G43.81 for Other migraine, intractable
  • BILLABLE CODE - Use G43.811 for Other migraine, intractable, with status migrainosus
  • BILLABLE CODE - Use G43.819 for Other migraine, intractable, without status migrainosus
  • NON-BILLABLE CODE - G43.82 for Menstrual migraine, not intractable
  • BILLABLE CODE - Use G43.821 for Menstrual migraine, not intractable, with status migrainosus
  • BILLABLE CODE - Use G43.829 for Menstrual migraine, not intractable, without status migrainosus
  • NON-BILLABLE CODE - G43.83 for Menstrual migraine, intractable
  • BILLABLE CODE - Use G43.831 for Menstrual migraine, intractable, with status migrainosus
  • BILLABLE CODE - Use G43.839 for Menstrual migraine, intractable, without status migrainosus

Clinical Information

Quality Payment Program Measures

When code G43.8 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. The objective of Medicare's Quality Measures is to improve patient care by making it more: effective, safe, efficient, patient-centered and equitable.

Quality Measure Description Quality Domain Measure Type High Priority Submission Methods
Overuse of Imaging for the Evaluation of Primary HeadachePercentage of patients for whom imaging of the head (CT or MRI) is obtained for the evaluation of primary headache when clinical indications are not present.Efficiency and Cost ReductionProcessYESClaims, Registry

Information for Patients


Migraine

What are migraines?

Migraines are a recurring type of headache. They cause moderate to severe pain that is throbbing or pulsing. The pain is often on one side of your head. You may also have other symptoms, such as nausea and weakness. You may be sensitive to light and sound.

What causes migraines?

Researchers believe that migraine has a genetic cause. There are also a number of factors that can trigger a migraine. These factors vary from person to person, and they include

Some people have found that certain foods or ingredients can trigger headaches, especially when they are combined with other triggers. These foods and ingredients include

Who is at risk for migraines?

About 12% of Americans get migraines. They can affect anyone, but you are more likely to have them if you

What are the symptoms of migraines?

There are four different phases of migraines. You may not always go through every phase each time you have a migraine.

Migraines are more common in the morning; people often wake up with them. Some people have migraines at predictable times, such as before menstruation or on weekends following a stressful week of work.

How are migraines diagnosed?

To make a diagnosis, your health care provider will

An important part of diagnosing migraines is to rule out other medical conditions which could be causing the symptoms. So you may also have blood tests, an MRI or CT scan, or other tests.

How are migraines treated?

There is no cure for migraines. Treatment focuses on relieving symptoms and preventing additional attacks.

There are different types of medicines to relieve symptoms. They include triptan drugs, ergotamine drugs, and pain relievers. The sooner you take the medicine, the more effective it is.

There are also other things you can do to feel better:

There are some lifestyle changes you can make to prevent migraines:

If you have frequent or severe migraines, you may need to take medicines to prevent further attacks. Talk with your health care provider about which drug would be right for you.

Certain natural treatments, such as riboflavin (vitamin B2) and coenzyme Q10, may help prevent migraines. If your magnesium level is low, you can try taking magnesium. There is also an herb, butterbur, which some people take to prevent migraines. But butterbur may not be safe for long-term use. Always check with your health care provider before taking any supplements.

NIH: National Institute of Neurological Disorders and Stroke


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Code History

  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016 (First year ICD-10-CM implemented into the HIPAA code set)