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v1.0.0
ICD-10 Guide
ICD-10 CodesG43.829

G43.829

Billable

Menstrual migraine, not intractable, without status migrainosus

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

Code Description

ICD-10 G43.829 is a billable code used to indicate a diagnosis of menstrual migraine, not intractable, without status migrainosus.

Key Diagnostic Point:

Menstrual migraine is a type of migraine headache that is closely linked to the menstrual cycle. It typically occurs in women during the luteal phase of their menstrual cycle, which is the time between ovulation and the onset of menstruation. These migraines can be triggered by hormonal fluctuations, particularly changes in estrogen levels. Unlike intractable migraines, which are severe and resistant to treatment, menstrual migraines classified under G43.829 are not considered intractable and do not involve status migrainosus, a condition characterized by prolonged and severe migraine attacks. Symptoms may include unilateral throbbing pain, nausea, vomiting, and sensitivity to light and sound. The diagnosis is primarily clinical, based on the patient's history and symptom pattern. Effective management often includes both acute treatments to relieve symptoms and preventive strategies to reduce the frequency and severity of attacks, particularly around the menstrual cycle.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between menstrual migraines and other types of migraines.
  • Understanding the specific triggers related to hormonal changes.
  • Identifying the absence of intractability and status migrainosus.
  • Documenting the frequency and severity of migraines accurately.

Audit Risk Factors

  • Inadequate documentation of menstrual cycle correlation.
  • Failure to specify the non-intractable nature of the migraine.
  • Misclassification of migraine type.
  • Lack of detailed symptom description.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed patient history, including migraine frequency, duration, and associated symptoms.

Common Clinical Scenarios

Patients presenting with recurrent headaches linked to menstrual cycles.

Billing Considerations

Consideration of other headache disorders and comorbidities.

Obstetrics/Gynecology

Documentation Requirements

Documentation of menstrual history and hormonal treatments.

Common Clinical Scenarios

Women experiencing migraines in relation to hormonal contraceptive use.

Billing Considerations

Understanding the impact of hormonal therapies on migraine patterns.

Coding Guidelines

Inclusion Criteria

Use G43.829 When
  • According to ICD
  • 10 guidelines, G43
  • 829 should be used when the migraine is linked to the menstrual cycle and is not classified as intractable
  • Documentation must support the diagnosis, including symptom patterns and triggers

Exclusion Criteria

Do NOT use G43.829 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for migraine management.

Documentation Requirements

Document the patient's history, current symptoms, and treatment response.

Specialty Considerations

Neurology and primary care may both utilize this code.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of migraine types, including menstrual migraines, which aids in better tracking and management of these conditions.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of migraine types, including menstrual migraines, which aids in better tracking and management of these conditions.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of migraine types, including menstrual migraines, which aids in better tracking and management of these conditions.

Resources

Clinical References

  • •
    American Migraine Foundation

Coding & Billing References

  • •
    American Migraine Foundation

Frequently Asked Questions

What distinguishes menstrual migraines from other types of migraines?

Menstrual migraines are specifically linked to hormonal changes during the menstrual cycle, typically occurring in the luteal phase, whereas other migraines may not have this correlation.