ICD-10 G43.619
Billable / Specific CCPersistent migraine aura with cerebral infarction, intractable, without status migrainosus
About ICD-10-CM G43.619
ICD-10-CM code G43.619 represents Persistent migraine aura with cerebral infarction, intractable, without status migrainosus. This is a billable/specific code in the Nervous System chapter (block G43). The 2026 edition of ICD-10-CM G43.619 became effective on October 1, 2025.
Coding Tips for G43.619
Specialist guidance from the PayerReady Medical Coding Team. Specificity warnings, HCC capture rules, sequencing notes.
G43.619 is designated CC for MS-DRG grouping. On inpatient claims, this code can shift the DRG to the with-CC variant when documented as a present-on-admission secondary diagnosis. Hospital CDI programs flag CC opportunities during chart review. Failure to capture this code may leave 30 to 80 percent of the inpatient stay revenue unrealized.
Inpatient DRG Impact, CC
codes Persistent migraine aura with cerebral infarction, intractable, without status migrainosus. As a Complication/Comorbidity (CC), this contributes to DRG severity adjustment when documented alongside the principal diagnosis.
Medicare LCD Coverage for G43.619
Local Coverage Determinations (LCDs) from CMS MACs that list G43.619 as a covered diagnosis.
Showing top 10 of 525 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing G43.619.
3 Cigna
5 Medicare
CPT Codes Commonly Billed with G43.619
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
- 46505 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- 64647 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- 43201 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- 64645 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- 43236 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- J0589 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- 64612 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- 64642 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- J0587 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
- 64643 CMS LCD: Billing and Coding: Botulinum Toxin Injections CMS LCD
Convert G43.619 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| G43.619 | 34661 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To G43.619
Other codes in section G40-G47 (Episodic and paroxysmal disorders).
ICD-10 G43.619, Billing FAQ
Is ICD-10 code G43.619 billable? +
Yes, G43.619 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
Is G43.619 a CC or MCC for inpatient DRG? +
Yes, this code is designated as CC. Documenting as a secondary diagnosis on inpatient claims can shift the DRG to a higher-weighted category.
What CPT codes are commonly billed with G43.619? +
Procedures frequently paired with G43.619 include: 46505, 64647, 43201, 64645, 43236.
What ICD-9 codes does G43.619 map to? +
Per CMS GEMs, G43.619 maps to ICD-9 codes: 34661. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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