G43.909

Migraine, unspecified, not intractable, without status migrainosus

Diseases of the nervous system Billable
Quick Reference
Episodic migraine headaches without aura, responsive to treatment

Clinical Information

When to Use This Code

Episodic migraine headaches without aura, responsive to treatment

Common Clinical Scenarios

  • Recurrent migraine headaches
  • Triptan or CGRP inhibitor prescribing
  • Migraine prophylaxis
  • Episodic headache pattern

Documentation Requirements

  • Document headache characteristics: unilateral, throbbing, photophobia, nausea
  • Specify with or without aura
  • Note frequency and duration
  • Record trigger factors and response to treatments
  • Specify intractable vs. not intractable

Coding Guidelines

Inclusion Terms

These terms are included in this code:

Migraine headacheMigraine NOSCommon migraine

Exclusion Terms

Do NOT use this code for:

  • Migraine with aura (G43.1-)
  • Chronic migraine (G43.7-)
  • Tension headache (G44.2-)

Coding Notes

Use G43.1- for migraine with aura
Use G43.7- for chronic migraine (≥15 days/month)
Intractable = not responsive to treatment

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Code Details

Code
G43.909
Category
Diseases of the nervous system
Billable Status
Billable

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