ICD-10 Code G43.619 – Persistent migraine aura with cerebral infarction, intractable, without status migrainosus (2026): Diagnosis, Symptoms & Billing Guide

The ICD-10 code for Persistent migraine aura with cerebral infarction, intractable, without status migrainosus is G43.619.
2026 ICD-10-CM Diagnosis Code G43.619 – Persistent migraine aura with cerebral infarction, intractable, without status migrainosus

What it is

This code describes a migraine disorder with aura that is linked to a cerebral infarction and does not respond to treatment. Use it when the record clearly documents persistent aura and infarction, without status migrainosus.

Clinical signs

Typical documentation includes migraine aura symptoms with evidence of cerebral infarction and a persistent neurologic deficit. Clinical features vary; refer to documentation.

When to use this code

Use G43.619 when the provider specifically documents persistent migraine aura with cerebral infarction and states the condition is intractable. It is appropriate for encounters focused on the ongoing diagnosis, even if the acute event occurred earlier. Check documentation for laterality, timing, and whether status migrainosus is excluded.

Do not use for

Do not use this code for migraine aura without infarction, or for cerebral infarction from another cause. If the record does not clearly support intractable disease or persistent aura, check documentation.

Coding tip

Code only when the provider links the infarction to migraine aura and documents intractability; otherwise, query or select a more specific stroke or migraine code.

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