G43.1 vs G43.6
G43.1 (Migraine with aura) compared with G43.6 (Persistent migraine aura with cerebral infarction), from the official CMS tabular data. Do not report these codes together: the official tabular list marks them Excludes1.
Can these codes be reported together?
No — do not report together. G43.1 carries an Excludes1 note covering G43.6: “persistent migraine aura (G43.5-, G43.6-)”
Sole exception: when the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).
Side by side
| G43.1Migraine with aura | G43.6Persistent migraine aura with cerebral infarction | |
|---|---|---|
| Billing status | Non-billable header | Non-billable header |
| Classification | G00-G99 — Diseases of the Nervous System (G00-G99) | G00-G99 — Diseases of the Nervous System (G00-G99) |
| Definition | Migraine with aura is a non-billable ICD-10-CM category code (G43.1). | Persistent migraine aura with cerebral infarction is a non-billable ICD-10-CM category code (G43.6). |
| Includes | Basilar migraine Classical migraine Migraine equivalents Migraine preceded or accompanied by transient focal neurological phenomena | — |
| Use additional code | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) | code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5) |
Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources