2025 ICD-10-CM code G43.80
(Active) Effective Date: N/A Diseases of the nervous system - Other migraine 6 Feed
Other migraine, not intractable. This code is used for migraine headaches that are responsive to treatment and not persistent, including vestibular or silent migraines not represented by other codes.
Medical necessity is established by the presence of migraine symptoms impacting the patient's quality of life.The documentation must support the diagnosis and the need for treatment.
Diagnosis is based on medical history, symptoms, physical and neurological examination.Further investigations like MRI, CT scan, and lumbar puncture may be conducted. Laboratory tests of blood and cerebrospinal fluid (CSF) might be necessary to rule out infections.
In simple words: This code refers to a type of migraine that responds to treatment. It includes less common forms like vestibular migraine (with dizziness) and silent migraine (aura without headache).
This code describes a migraine variant that is not intractable (resistant to treatment). It encompasses various migraine types, such as vestibular migraine (with dizziness, vertigo, and balance issues) and silent migraine (aura symptoms without the actual headache), provided they are not classified elsewhere.It excludes conditions like headache NOS (R51.9), lower half migraine (G44.00), and other headache syndromes (G44.-).
Example 1: A patient presents with recurrent episodes of severe headache preceded by visual auras. The headaches are typically one-sided and accompanied by nausea and vomiting. The headaches respond well to treatment with triptans. This would be coded as G43.80., A patient experiences dizziness, vertigo, and balance problems along with visual disturbances.These episodes are diagnosed as vestibular migraine, and the symptoms are managed effectively with medication.This scenario is coded as G43.80., A patient reports experiencing visual auras and sensitivity to light but does not develop an actual headache. The physician diagnoses this as a silent migraine. Since the condition is not intractable, G43.80 is the appropriate code.
Documentation should include the type of migraine, symptom details (aura, nausea, vomiting, etc.), associated sensory disturbances, neurological findings, response to treatment, and diagnostic test results.
- Specialties:Neurology
- Place of Service:Office, Inpatient Hospital, Outpatient Hospital, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home