2026 ICD-10-CM Diagnosis Code G43.E01Chronic migraine with aura, not intractable, with status migrainosus
ICD-10-CM Codes›G00–G99›G40-G47›G43
- Billable — Valid for Submission
- Chronic Condition
G43.E01 is a billable ICD-10-CM diagnosis code for chronic migraine with aura, not 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
Code Classification
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)
- with aura (acute-onset) (prolonged) (typical) (without headache)
- chronic
- not intractable
- with status migrainosus
- Migraine(idiopathic)
- with aura (acute-onset) (prolonged) (typical) (without headache)
- chronic
- without refractory migraine
- with status migrainosus
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
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.
Code History & ChangesHistory
Replacement G43.E01 replaces the following previously assigned code(s):
- G43.801 - Other migraine, not intractable, with status migrainosus
Questions About G43.E01Overview
Is G43.E01 (Chronic migraine with aura, not intractable) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report chronic migraine with aura, not intractable, with status migrainosus on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does G43.E01 group to?
When chronic migraine with aura, not 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.
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.
