{"code":"G43.829","type":"code","title":"Menstrual migraine, not intractable, without status migrainosus","codeAlso":["associated premenstrual tension syndrome (N94.3)"],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":["lower half migraine (G44.00)"],"excludes2":["headache NOS (R51.9)","headache syndromes (G44.-)"],"isBillable":true,"fyEffectivity":{"fy2026":true,"fy2027":true,"billableFy2026":true,"billableFy2027":true},"inclusionTerms":["Menstrual migraine NOS"],"useAdditionalCode":["code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)"],"clinicalDefinition":"Menstrual migraine, not intractable, without status migrainosus is a billable ICD-10-CM diagnosis code (G43.829). Inclusion terms: Menstrual migraine NOS. Excludes1 (not coded here): lower half migraine (G44.00). Excludes2 (not included here): headache NOS (R51.9); headache syndromes (G44.-). Use additional code: code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5). Code also: associated premenstrual tension syndrome (N94.3).","officialDefinition":"Menstrual migraine, not intractable, without status migrainosus is a billable ICD-10-CM diagnosis code (G43.829). Inclusion terms: Menstrual migraine NOS. Excludes1 (not coded here): lower half migraine (G44.00). Excludes2 (not included here): headache NOS (R51.9); headache syndromes (G44.-). Use additional code: code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5). Code also: associated premenstrual tension syndrome (N94.3).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":"","noteProvenance":{"lower half migraine (G44.00)":"G43","headache NOS (R51.9)":"G43","headache syndromes (G44.-)":"G43","code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)":"G43","Menstrual headache, not intractable":"G43.82","Menstrual migraine, without refractory migraine":"G43.82","Menstrually related migraine, not intractable":"G43.82","Pre-menstrual headache, not intractable":"G43.82","Pre-menstrual migraine, not intractable":"G43.82","Pure menstrual migraine, not intractable":"G43.82"},"hcc":{"mapped":false,"model":"CMS-HCC V28","paymentYear":"2026","categories":[],"otherModels":[{"model":"RxHCC V08","hcc":"166"}]}}