ICD-10 Code G43.D1 – Abdominal migraine, intractable (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Abdominal migraine, intractable is G43.D1.
2026 ICD-10-CM Diagnosis Code G43.D1 – Abdominal migraine, intractable

What it is

G43.D1 identifies abdominal migraine that is difficult to control or does not respond well to usual management. It refers to recurrent abdominal pain episodes linked to a migraine disorder, not a primary gastrointestinal disease.

Clinical signs

Typical features include repeated attacks of midline abdominal pain, nausea, vomiting, pallor, or loss of appetite. Clinical features vary; refer to documentation.

When to use this code

Use this code when the record specifically documents abdominal migraine and states it is intractable, refractory, or poorly controlled. You should also use it when the provider clearly links the abdominal pain episodes to migraine and notes failure of standard measures. Check documentation if the chart is unclear.

Do not use for

Do not use this code for nonspecific abdominal pain, gastroenteritis, or other digestive disorders without a documented migraine diagnosis. Do not assume intractable status unless the provider states it.

Coding tip

Confirm both the migraine-related diagnosis and the intractable designation in the provider note before assigning G43.D1.

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