2026 ICD-10-CM Diagnosis Code G43.011Migraine without aura, intractable, with status migrainosus

ICD-10-CM Codes›G00–G99›G40-G47›G43

ICD-10-CM G43.011
CMSSource: CMS FY 2026 ICD-10-CM dataset · Effective Oct 1, 2025 – Sep 30, 2026

G43.011 is a billable ICD-10-CM diagnosis code for migraine without aura, intractable, with status migrainosus. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 102 through 103. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Headache; including migraine.

Code Identity

ICD-10-CM Code
G43.011
Billable Status
Yes — Valid for Submission
Code Describes
Migraine without aura, intractable, with status migrainosus
Short Description
Migraine without aura, intractable, with status migrainosus
Same as the full description in the CMS dataset.
Parent Code
G43.01
Migraine without aura, intractable

Code Classification

ChapterG00–G99Diseases of the nervous system
SectionG40-G47Episodic and paroxysmal disorders
CategoryG43Migraine
This CodeG43.011Migraine without aura, intractable, with status migrainosus

Index to Diseases and InjuriesGuidance

Alphabetical index entries that point to this code.

External Cause of Injuries IndexGuidance

References for this code in the External Cause of Injuries Index.

    • Migraine(idiopathic)
      • without aura
        • with refractory migraine
          • with status migrainosus
    • Migraine(idiopathic)
      • without aura
        • intractable
          • with status migrainosus

Clinical ClassificationClinical

AHRQ’s CCSR groups this code into broader clinical categories.

CCSR NVS010
Headache; including migraine
Default principal diagnosis: inpatient Yes · outpatient Yes

Patient EducationClinical

Migraine

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.

The full article covers:

  • What are migraines?
  • What causes migraines?
  • Who is at risk for migraines?
  • What are the symptoms of migraines?
  • How are migraines diagnosed?
  • How are migraines treated?

Read the full article at MedlinePlus

Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.

Convert G43.011 to ICD-9-CMHistory

The closest ICD-9-CM equivalents under the General Equivalence Mappings.

ICD-9-CM
346.13 Mgrn wo aura w ntrc mgrn
Exact Match The mapping is direct, with no qualifiers.

Code HistoryHistory

FY 2016AddedAdded to the ICD-10-CM code setEffective October 1, 2015, the first year of ICD-10-CM.
FY 2017–2025No changes
FY 2026CurrentCurrent code set, no changesEffective October 1, 2025 through September 30, 2026.

Questions About G43.011Overview

Is G43.011 (Migraine without aura, intractable) a billable code?

Yes. This is a billable ICD-10-CM code, specific enough to report migraine without aura, intractable, with status migrainosus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.

What MS-DRG does G43.011 group to?

When migraine without aura, intractable, with status migrainosus is the principal diagnosis on an inpatient stay, it groups to MS-DRG 102, 103, with relative weights from 0.8363 to 1.1209 depending on complications. Higher weights mean higher Medicare reimbursement.

What is the ICD-9 equivalent of G43.011?

Under the General Equivalence Mappings, migraine without aura, intractable, with status migrainosus converts to ICD-9-CM 346.13 (mgrn wo aura w ntrc mgrn). The mapping is a direct match.

Footnotes

[1] Chronic - a chronic condition code indicates a condition lasting 12 months or longer and its effect on the patient based on one or both of the following criteria:

  • The condition results in the need for ongoing intervention with medical products,treatment, services, and special equipment
  • The condition places limitations on self-care, independent living, and social interactions.