Skip to main content

G43.611 ICD-10-CM Code: Persistent migraine aura with cerebral infarction, intractable, with status migrainosus

Compare with another code for G43.611Check this code on a claim

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
1 Excludes1 · 2 Excludes2 · 1 use-additional code · 1 code-also instruction
Risk adjustment
RxHCC V08 category 166

Billable · FY2027A valid, specific ICD-10-CM code, reportable for dates of service in FY2027.

What you need to know

Source: CMS/NCHS Official ICD-10-CM tabular notes, quoted. From the CMS/NCHS tabular list for the release in force. A note the category or block publishes applies to this code too, and is marked with where it comes from.

Use additional codefrom G43Report with this code when documented
  • Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Excludes1from G43Not reported with this code unless documented as unrelated
Code alsofrom G43.6May be needed with this code
  • the type of cerebral infarction (I63.-)
Excludes2from G43Not included here; may be reported together
  • headache NOS (R51.9)
  • headache syndromes (G44.-)

Where it sits Source: CMS/NCHS

Under:Chapter 6: Diseases of the Nervous SystemG40-G47 Episodic and paroxysmal disordersG43 MigraineG43.6 Persistent migraine aura with cerebral infarctionG43.61 Persistent migraine aura with cerebral infarction, intractable

Most relevant related codes MedCoder-derived

Read off the official notes above and this code’s own position in the tabular list. Which to report is a documentation question; Compare shows the two side by side.

CompareCheck ClaimView Related Codes

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v44, Appendix B.

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for G43.611 in the official ICD-10-CM tabular list, quoted as published.

Source: CMS/CDC — ICD-10-CM Tabular ListRelease: FY2027Effective: October 1, 2026

Trace:FY2027 changesChange historyRelease, file and checksum

Notes without a marker are published on G43.611 itself; “inherited from” names the category or block whose note applies here.

Excludes1 — Not Coded Here

Conditions generally not reported together with this code (Excludes1) -- an error unless the two conditions are documented as unrelated to each other (ICD-10-CM Official Guidelines, Section I.A.12.a).

Source: inherited from G43

Excludes2 — Not Included Here

Conditions not covered by this code, but which may be reported alongside it when both are present.

Source: inherited from G43

Code Also

Additional codes that may be required to fully describe the encounter.

  • the type of cerebral infarction (I63.-)

Source: inherited from G43.6

Use Additional Code

Supplementary codes the tabular list directs you to add.

  • Use additional code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)

Source: inherited from G43

Coder workflow for G43.611

MedCoder structured workflow — derived from this code’s own official record

Before you code G43.611

  1. G43.611’s title joins a condition with an associated condition or complication. Confirm each component is documented. Where the classification presumes the link through the “with” convention, only a provider statement that the conditions are unrelated defeats it. A combination code is assigned only when it fully identifies the documented conditions; a required second code for the stage, type or manifestation is still reported when the notes ask for it (Guidelines I.B.9, I.A.15).

    Guide: Combination codes →

  2. Check the Excludes1 note: if the documentation supports a condition named there, do not simply proceed with G43.611. Excludes1 conditions are not reported together with this code unless the record shows they are unrelated (Guidelines I.A.12.a).

    See the official tabular notes

Choose the right path

  1. Does the documentation support a condition named in G43.611’s Excludes1 note?
    Yes → Do not simply proceed: review the excluded code. Both are reported only when the record shows the two conditions are unrelated.
    No → Continue.

    ReviewG44.00

Consider G43.611. Then work the Use Additional Code note and review the Code Also note, and confirm the code is valid for the date of service in the Verify section.

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The associated condition or complication
Whether the associated condition the title names is documented; the “with” convention presumes some links, and a provider statement that the conditions are unrelated defeats it (Guidelines I.A.15).
The conditions the Use Additional Code note names
Reported with this code when documented; a conditional instruction (“if applicable”, “if known”) applies only when the record supports it.

Official instructions as workflow

  • Excludes1 — check before selecting G43.611(1 note)

    Coding workflow: If the documentation supports a condition named in this note, do not simply proceed with G43.611: the two are not reported together. The one exception is when the record shows the two conditions are unrelated to each other.

    CompareG44.00

    See the official tabular notes · Guidelines I.A.12.a

  • Excludes2 — not part of G43.611(2 notes)

    Coding workflow: The conditions named in this note are not included in G43.611. When the record documents both, both may be reported; the note is a boundary, not a prohibition.

    CompareR51.9, G44

    See the official tabular notes · Guidelines I.A.12.b

  • Use Additional Code — after identifying G43.611(1 note)

    Coding workflow: Check whether the documentation supports the additional code(s) the note names, and report them with G43.611 when it does. Where the instruction is conditional (“if applicable”, “if known”), it applies only when the record documents the condition.

    See the official tabular notes · Guidelines I.A.13

  • Code Also — related condition(1 note)

    Coding workflow: Review the related condition when both are documented and the instruction applies. A Code Also note does not fix sequencing; the order follows the circumstances of the encounter.

    ReviewI63

    See the official tabular notes · Guidelines I.A.17

Coding decision scenarios

Pattern scenarios for this code’s structure — decision rules, not clinical cases

Documentation: Both the condition G43.611 describes and a condition named in its Excludes1 note are documented for the same encounter.

Coding question: Can both codes be reported?

Path: Review the Excludes1 note and the excluded code, and look for a provider statement on whether the two conditions are related.

Reason: Excludes1 means the two are not coded together; the exception is when the record shows the conditions are unrelated to each other (Guidelines I.A.12.a).

ReviewG44.00

Documentation: Only one of the components this code’s title joins is documented.

Coding question: Is G43.611 supported?

Path: Review the code for the documented component on its own.

Reason: A combination code is assigned only when it fully identifies the documented conditions; otherwise the documented component takes its own code (Guidelines I.B.9).

Documentation: A condition the Use Additional Code note names is documented.

Coding question: Is a second code reported with G43.611?

Path: Review the Use Additional Code note and the code it names.

Reason: The additional code is reported when the record documents the condition; a conditional instruction applies only when its condition is met (Guidelines I.A.13).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Don’t confuse G43.611 with…

MedCoder analysis — pairs from this code’s official notes, distinctions written by MedCoder

The codes most likely to be picked instead of G43.611 — named in its own official notes, or sharing its laterality or encounter family — with what separates them and which documentation moves the case. Each links to the full comparison.

  • G44.00— Excludes1 conflict (Excludes1 — generally not reported together)

    Not coded here — the tabular list excludes this pair for the same encounter.

    Not reported together with this code, except where the two conditions are documented as unrelated.

    What moves you there: Documentation of lower half migraine moves the case to G44.00; the two are not reported together unless documented as unrelated.

    Full comparison: G43.611 vs G44.00 →

  • R51.9— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of headache NOS adds R51.9; it is not part of this code and both may be reported when both are documented.

    Full comparison: G43.611 vs R51.9 →

  • G44— Excludes2 relationship (Informational)

    Distinct conditions — both may be reported.

    A distinct condition — both may be reported when both are documented.

    What moves you there: Documentation of headache syndromes adds G44; it is not part of this code and both may be reported when both are documented.

    Full comparison: G43.611 vs G44 →

Relationships are read from this code's own official notes, its laterality siblings and its encounter family; the wording of each distinction is MedCoder editorial, and the documentation named in each “what moves you there” line is the official note phrase or sibling title itself. Source: CMS ICD-10-CM tabular instructional notes; ICD-10-CM Official Guidelines, Section I.A.12.a.

Coding context

Guidelines, coding notes, decision aids, relationships (with MS-DRG and CCSR classification), hierarchy, HCC, coverage and the context map: what a coder reaches for after the core. Each section names whether it is official source data, a MedCoder-derived relationship or MedCoder editorial.

Code Overview

Persistent migraine aura with cerebral infarction, intractable, with status migrainosus is a billable ICD-10-CM diagnosis code (G43.611).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Decision Points

The directives on this code's own record, as a pre-claim checklist.

  1. 1 Use Additional Code instruction — report the named additional code(s) when the documentation supports them. See the Use Additional Code notes
  2. 1 Code Also note — a second code may apply; the guidelines leave its sequencing to the circumstances of the encounter. See the Code Also notes
  3. 1 Excludes1 entry — codes named there are generally not reported together with this code (Guidelines I.A.12.a). See the Excludes1 notes
  4. 2 Excludes2 entries — those conditions are not part of this code and may be reported additionally when documented. See the Excludes2 notes

Checklist rows are derived from this code's own official directives; the wording of each check is MedCoder editorial. The official notes themselves are in the sections each row links to.

Verify Before Coding

  • CC as a secondary diagnosis (FY2027). Can raise the stay's MS-DRG severity tier.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder-derived relationships — computed from published CMS and AHRQ datasets

Other codes that name G43.611 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 1 Excludes1 note: G43.1 — Migraine with aura (via G43.6.-).

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

Referenced by 4 Excludes2 notes across 2 chapters: G44 — Other headache syndromes (via G43.-), G44.1 — Vascular headache, not elsewhere classified (via G43.-), G89 — Pain, not elsewhere classified (via G43.-), R51 — Headache (via G43.-).

These codes’ tabular lists name this diagnosis as distinct — both may be reported when both are documented.

MS-DRG Grouper Relationships (FY2027)

Potential MS-DRG participation — not a DRG assignment.

FY2027 MS-DRG: CC — Complication or Comorbidity. Reported as a secondary diagnosis, this code raises the stay's MS-DRG severity tier — except when the principal diagnosis is one of 121 clinically related codes on its CMS exclusion list.

Named in the grouper logic of 2 MS-DRGs: DRG 102 (MDC 01), DRG 103 (MDC 01).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):CIR020 — Cerebral infarction (default); NVS010 — Headache; including migraine.

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Same clinical process (MS-DRG)

Acts as CC — raises the severity of other admissions. CMS groups these diagnoses into one MS-DRG principal-diagnosis exclusion process — a CC/MCC on this list never raises severity when the principal diagnosis is also on it.

G43.601 — Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus, G43.609 — Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus, G43.619 — Persistent migraine aura with cerebral infarction, intractable, without status migrainosus, I63.00 — Cerebral infarction due to thrombosis of unspecified precerebral artery, I63.011 — Cerebral infarction due to thrombosis of right vertebral artery, I63.012 — Cerebral infarction due to thrombosis of left vertebral artery, I63.013 — Cerebral infarction due to thrombosis of bilateral vertebral arteries, I63.019 — Cerebral infarction due to thrombosis of unspecified vertebral artery, I63.02 — Cerebral infarction due to thrombosis of basilar artery, I63.031 — Cerebral infarction due to thrombosis of right carotid artery, I63.032 — Cerebral infarction due to thrombosis of left carotid artery, I63.033 — Cerebral infarction due to thrombosis of bilateral carotid arteries, I63.039 — Cerebral infarction due to thrombosis of unspecified carotid artery, I63.09 — Cerebral infarction due to thrombosis of other precerebral artery, I63.10 — Cerebral infarction due to embolism of unspecified precerebral artery, I63.111 — Cerebral infarction due to embolism of right vertebral artery, I63.112 — Cerebral infarction due to embolism of left vertebral artery, I63.113 — Cerebral infarction due to embolism of bilateral vertebral arteries, I63.119 — Cerebral infarction due to embolism of unspecified vertebral artery, I63.12 — Cerebral infarction due to embolism of basilar artery, +100 more

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical categories (Cerebral infarction, Headache; including migraine).

G43.401 — Hemiplegic migraine, not intractable, with status migrainosus, G43.409 — Hemiplegic migraine, not intractable, without status migrainosus, G43.411 — Hemiplegic migraine, intractable, with status migrainosus, G43.419 — Hemiplegic migraine, intractable, without status migrainosus, G43.501 — Persistent migraine aura without cerebral infarction, not intractable, with status migrainosus, G43.509 — Persistent migraine aura without cerebral infarction, not intractable, without status migrainosus, G43.511 — Persistent migraine aura without cerebral infarction, intractable, with status migrainosus, G43.519 — Persistent migraine aura without cerebral infarction, intractable, without status migrainosus, G43.601 — Persistent migraine aura with cerebral infarction, not intractable, with status migrainosus, G43.609 — Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus, G43.619 — Persistent migraine aura with cerebral infarction, intractable, without status migrainosus, G43.701 — Chronic migraine without aura, not intractable, with status migrainosus, G43.709 — Chronic migraine without aura, not intractable, without status migrainosus, G43.711 — Chronic migraine without aura, intractable, with status migrainosus, G43.719 — Chronic migraine without aura, intractable, without status migrainosus, G43.801 — Other migraine, not intractable, with status migrainosus, G43.809 — Other migraine, not intractable, without status migrainosus, G43.811 — Other migraine, intractable, with status migrainosus, G43.819 — Other migraine, intractable, without status migrainosus, G43.821 — Menstrual migraine, not intractable, with status migrainosus, +209 more

Contextual Map

Every relationship of G43.611 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run G43.611 with these 5 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

  • G43.1 — Migraine with aura[Excludes1](via G43.6.-): “persistent migraine aura (G43.5-, G43.6-)”— CMS ICD-10-CM tabular instructional notes · icd10cm-fy2027

Referenced by Excludes2 notes

Clinical classification (CCSR)

MS-DRG Grouper

  • CC — Complication or Comorbidity [MS-DRG severity]: “As a secondary diagnosis this code can raise the stay's MS-DRG severity tier (CC).”— CMS MS-DRG Definitions Manual (Appendix C) · FY2027
  • DRG 102 — HEADACHES WITH MCC[MS-DRG]: “HEADACHES WITH MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027
  • DRG 103 — HEADACHES WITHOUT MCC[MS-DRG]: “HEADACHES WITHOUT MCC (MDC 01)”— CMS MS-DRG Definitions Manual (Appendix B) · FY2027

MDC crossing

  • MDC 01 — Diseases and Disorders of the Nervous System[MDC crossing]: “Diseases and Disorders of the Nervous System — the grouper's crossing between diagnoses and procedures: a principal diagnosis sets the MDC, and same-MDC procedures move the stay to its surgical DRGs. 8,919 same-MDC procedures group here; browse them on the MDC page.”— CMS MS-DRG Definitions Manual · FY2027

Index entries

  • Migraine (idiopathic), with aura (acute-onset) (prolonged) (typical) (without headache), persistent, with cerebral infarction, intractable, with status migrainosus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027
  • Migraine (idiopathic), with aura (acute-onset) (prolonged) (typical) (without headache), persistent, with cerebral infarction, with refractory migraine, with status migrainosus[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2027

Nearest codes (40)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Reference

Index terms and tables, published questions and FAQ, every source behind this page with its release and checksum, the date-of-service check and the complete change history.

Indexed Clinical Terms (2)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2027 tabular list, index and tables, effective October 1, 2026 Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v44.0 (October 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v44 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder-derived relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder editorial explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Current data releases:ICD-10-CM FY2027 · ICD-10-PCS FY2027 · HCPCS October 2026 · MS-DRG v44 · Medicare Code Editor v44.0 · NCCI PTP Q4 2026 · MUE Q4 2026 · NCD code lists 2026-01 · LCD export September 28, 2026 · All releases and sources

Labels on this page: Official source data · MedCoder-derived relationship · MedCoder editorial explanation. How to read the labels · All data sources and release dates · CMS coding rules

Cite this page

Reference this page in a research guide, syllabus or article. The release is included because code content changes each year.

MedCoder.ai. "G43.611 — Persistent migraine aura with cerebral infarction, intractable, with status migrainosus." ICD-10-CM FY2027. https://medcoder.ai/icd10/code/g43.611-persistent-migraine-aura-with-cerebral-infarction-intractable-with-status-migrainosus

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Persistent migraine aura with cerebral infarction, intractable, with status migrainosus

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027, and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to G43.611 in its code family, with their registry titles.

View all codes in the G43 family