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ICD-10 Guide
ICD-10 CodesG43.601

G43.601

Billable

Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus

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

Code Description

ICD-10 G43.601 is a billable code used to indicate a diagnosis of persistent migraine aura with cerebral infarction, not intractable, with status migrainosus.

Key Diagnostic Point:

Persistent migraine aura with cerebral infarction is a complex neurological condition characterized by prolonged aura symptoms that can last for more than one week, accompanied by a cerebral infarction. This condition is not classified as intractable, meaning that it can be managed with appropriate treatment. Status migrainosus refers to a severe migraine attack lasting longer than 72 hours, which can lead to significant disability. Patients may experience visual disturbances, sensory changes, and motor deficits during the aura phase. The presence of cerebral infarction indicates that there has been an ischemic event in the brain, which can complicate the clinical picture and necessitate careful management. Understanding the triggers, such as stress, hormonal changes, and certain foods, is crucial for prevention and treatment. Preventive treatments may include medications like beta-blockers, anticonvulsants, and lifestyle modifications to reduce the frequency and severity of migraine attacks.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Differentiating between migraine types and their associated symptoms.
  • Understanding the implications of cerebral infarction in migraine patients.
  • Managing and documenting the status migrainosus aspect accurately.
  • Navigating the interplay between acute and preventive treatments.

Audit Risk Factors

  • Inadequate documentation of the duration and severity of aura symptoms.
  • Failure to document the presence of cerebral infarction.
  • Misclassification of the migraine type.
  • Lack of evidence for preventive treatment measures.

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, recurrent migraines, or complications from cerebral infarction.

Billing Considerations

Neurologists must ensure comprehensive documentation of all symptoms and treatment responses.

Primary Care

Documentation Requirements

Complete patient history, including migraine triggers and response to treatments.

Common Clinical Scenarios

Patients with a history of migraines presenting with new or worsening symptoms.

Billing Considerations

Primary care providers should monitor and document lifestyle factors that may influence migraine frequency.

Coding Guidelines

Inclusion Criteria

Use G43.601 When
  • According to ICD
  • 10 guidelines, G43
  • 601 should be used when the patient has persistent migraine aura with documented cerebral infarction and is not classified as intractable
  • It is essential to document the duration of symptoms and any treatments attempted

Exclusion Criteria

Do NOT use G43.601 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99214CPT Code

Established patient office visit, level 4

Clinical Scenario

Used for follow-up visits for migraine management.

Documentation Requirements

Document history of present illness, examination findings, and treatment plan.

Specialty Considerations

Neurologists may require more detailed documentation compared to primary care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of migraine conditions, including the differentiation of persistent aura and associated complications like cerebral infarction. This specificity aids in better tracking and management of migraine disorders.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of migraine conditions, including the differentiation of persistent aura and associated complications like cerebral infarction. This specificity aids in better tracking and management of migraine disorders.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of migraine conditions, including the differentiation of persistent aura and associated complications like cerebral infarction. This specificity aids in better tracking and management of migraine disorders.

Resources

Clinical References

  • •
    American Migraine Foundation

Coding & Billing References

  • •
    American Migraine Foundation

Frequently Asked Questions

What distinguishes G43.601 from other migraine codes?

G43.601 specifically indicates the presence of persistent aura and cerebral infarction, which requires detailed documentation and management strategies that differ from other migraine codes.