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ICD-10 Guide
ICD-10 CodesG43.6

G43.6

Billable

Persistent migraine aura with cerebral infarction

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G43.6 is a billable code used to indicate a diagnosis of persistent migraine aura with cerebral infarction.

Key Diagnostic Point:

Persistent migraine aura with cerebral infarction is a rare but serious condition characterized by prolonged neurological symptoms that resemble a migraine aura, which persist for more than one week and are accompanied by evidence of cerebral infarction. The aura may include visual disturbances, sensory changes, or speech difficulties. Unlike typical migraine aura, which resolves within 60 minutes, the symptoms in this condition can last for days or weeks. The cerebral infarction indicates that there has been a loss of blood supply to a part of the brain, leading to tissue damage. This condition requires careful diagnosis to differentiate it from other types of stroke and migraine-related disorders. Risk factors may include a history of migraines, vascular disease, and certain lifestyle factors. Treatment often involves managing the acute symptoms and addressing any underlying vascular issues to prevent further infarctions.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between migraine aura and stroke symptoms
  • Need for detailed documentation of neurological symptoms
  • Potential overlap with other headache disorders
  • Involvement of multiple specialties for diagnosis and treatment

Audit Risk Factors

  • Inadequate documentation of symptoms duration
  • Failure to provide imaging results
  • Misclassification of stroke versus migraine aura
  • Lack of comprehensive treatment plans

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with prolonged aura symptoms and neurological deficits.

Billing Considerations

Ensure clear documentation of the onset, duration, and resolution of symptoms.

Emergency Medicine

Documentation Requirements

Thorough assessment of acute symptoms, including neurological evaluations and imaging.

Common Clinical Scenarios

Patients presenting to the ER with stroke-like symptoms that may be due to migraine aura.

Billing Considerations

Rapid assessment and documentation are crucial to differentiate from stroke.

Coding Guidelines

Inclusion Criteria

Use G43.6 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation and imaging studies
  • Include any relevant comorbidities and specify the duration of symptoms

Exclusion Criteria

Do NOT use G43.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

70450CPT Code

CT scan of the head

Clinical Scenario

Used to evaluate for cerebral infarction in patients with prolonged aura symptoms.

Documentation Requirements

Document the reason for the CT scan and findings.

Specialty Considerations

Neurologists should ensure imaging correlates with clinical findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of migraine-related disorders, including G43.6, which helps in better tracking and management of these complex conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of migraine-related disorders, including G43.6, which helps in better tracking and management of these complex conditions.

Reimbursement & Billing Impact

reimbursement and compliance.

Resources

Clinical References

  • •
    American Academy of Neurology

Coding & Billing References

  • •
    American Academy of Neurology

Frequently Asked Questions

What distinguishes G43.6 from other migraine codes?

G43.6 is specifically for cases where migraine aura persists for more than a week and is associated with cerebral infarction, requiring careful documentation and differentiation from other conditions.