G43.609 Persistent migraine aura with cerebral infarction, not intractable, without status migrainosus
Billable ICD-10-CM code, FY2026. Acts as a Complication or Comorbidity (CC) as a secondary diagnosis.
Applies from G43 Migraine
Excludes1 (never code together)
headache NOS (R51.9)
lower half migraine (G44.00)
Excludes2 (not included here)
headache syndromes (G44.-)
Use additional code
code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
Notes
the following terms are to be considered equivalent to intractable: pharmacoresistant (pharmacologically resistant), treatment resistant, refractory (medically) and poorly controlled
Applies from G43.6 Persistent migraine aura with cerebral infarction
Code also
the type of cerebral infarction (I63.-)
Applies from G43.60 Persistent migraine aura with cerebral infarction, not intractable
Applicable to
Persistent migraine aura with cerebral infarction, without refractory migraine
Risk adjustment (HCC)
RxHCC V08: HCC 166 — Migraine Headaches
MS-DRG index
Defines the logic of DRG(s) 102-103 in MDC 01.
Approximate ICD-9-CM (GEMs)
346.60 Persistent migraine aura with cerebral infarction, without mention of intractable migraine without mention of status migrainosus
Code annotations containing back-references to G43.609
Back-references to G43.6
Type 1 Excludes: G43.1 Migraine with aura ("persistent migraine aura (G43.5-, G43.6-)")
Back-references to G43
Type 2 Excludes: G44 Other headache syndromes ("migraines (G43.-)")
Type 2 Excludes: G44.1 Vascular headache, not elsewhere classified ("migraine (G43.-)")
Type 2 Excludes: G89 Pain, not elsewhere classified ("migraines (G43.-)")
Type 2 Excludes: R51 Headache ("migraine and other headache syndromes (G43-G44)")
Diagnosis Index entries for G43.609
Migraine (idiopathic) › with aura (acute-onset) (prolonged) (typical) (without headache) › persistent › with cerebral infarction
Migraine (idiopathic) › with aura (acute-onset) (prolonged) (typical) (without headache) › persistent › with cerebral infarction › not intractable
Migraine (idiopathic) › with aura (acute-onset) (prolonged) (typical) (without headache) › persistent › with cerebral infarction › not intractable › without status migrainosus
Migraine (idiopathic) › with aura (acute-onset) (prolonged) (typical) (without headache) › persistent › with cerebral infarction › without refractory migraine
Migraine (idiopathic) › with aura (acute-onset) (prolonged) (typical) (without headache) › persistent › with cerebral infarction › without refractory migraine › without status migrainosus
Nearby codes
G43.511 Persistent migraine aura without cerebral infarction, intractable, with status migrainosus
G43.519 Persistent migraine aura without cerebral infarction, intractable, without status migrainosus
G43.6 Persistent migraine aura with cerebral infarction
G43.60 Persistent migraine aura with cerebral infarction, not intractable
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 (this code)
G43.61 Persistent migraine aura with cerebral infarction, intractable
G43.611 Persistent migraine aura with cerebral infarction, intractable, with status migrainosus
G43.619 Persistent migraine aura with cerebral infarction, intractable, without status migrainosus