Periodic headache syndromes in child or adult, not intractable
RxHCC
RxHCC 166
RAF 0.100
ACA/HHS
Source required
RAF source required
Index trail
Periodic headache syndromes in child or adult
See Tabular List: G43.C0
G43, Migraine
G43.C, Periodic headache syndromes in child or adult
G43.C0, Periodic headache syndromes in child or adult, not intractable
Selected code, source checked for the selected effective period
Not listed for this effective period.
Periodic headache syndromes in child or adult, not intractable
Open the shareable code page for G43.C0→No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
Index trail
Periodic headache syndromes in child or adult
See Tabular List: G43.C0
G43, Migraine
G43.C, Periodic headache syndromes in child or adult
G43.C0, Periodic headache syndromes in child or adult, not intractable
Selected code, source checked for the selected effective period
Not listed for this effective period.
Periodic headache syndromes in child or adult, not intractable
Open the shareable code page for G43.C0→No Excludes 1 note is listed in this source payload.
No Excludes 2 note is listed in this source payload.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this effective period.
Not listed for this code in the selected Tabular payload.
Not listed for this code in the selected Tabular payload.
No laterality instruction is listed for this code in the selected Tabular payload.
HCC Mapping
RAF Value
Model Period
Source
Audit Caution
HCC mapping, RAF, MEAT, source trail, and audit caution stay in view.
RxHCC
RxHCC 166
Migraine
RAF: 0.100
HHS-HCC
source required
HHS-HCC source required or member context needed for selected effective period
RAF: source required
MEAT checklist
Reviewed by the HCC Buddy Coding TeamMonitor, Evaluate, Assess, or Treat must be supported in the provider note.
HCC Buddy guidance, not official ICD-10-CM text.
Audit caution
Reviewed by the HCC Buddy Coding TeamClose codes need documentation support before selection. Do not assume relationships.
HCC Buddy guidance, not official ICD-10-CM text.
Reviewer sign-off
Reviewed by the HCC Buddy Coding TeamMEAT, documentation support, audit cautions, and close-code guidance are reviewed and approved for this effective period.
HCC Buddy enrichment is separate from official source text.
Periodic headache syndromes in child or adult, not intractable
RxHCC
RxHCC 166
RAF 0.100
ACA/HHS
Source required
RAF source required
Code
G43.C0
V28 HCC
Not mapped
RAF
source required
Add close codes to compare documentation differences.