Episodic cluster headache
ICD-10 G44.01 is a billable code used to indicate a diagnosis of episodic cluster headache.
Episodic cluster headache is a primary headache disorder characterized by recurrent, severe unilateral headaches that occur in clusters or bouts. These headaches are typically excruciating and are often accompanied by autonomic symptoms such as lacrimation, nasal congestion, and ptosis on the affected side. The attacks usually last between 15 minutes to 3 hours and can occur multiple times a day, often at the same time each day. The episodic nature of this condition means that patients may experience periods of frequent attacks followed by remission periods lasting weeks to months. The exact etiology of episodic cluster headaches remains unclear, but they are believed to involve dysfunction in the hypothalamus and may be triggered by factors such as alcohol consumption, smoking, and changes in sleep patterns. Effective management often includes abortive treatments like triptans and preventive therapies such as verapamil or corticosteroids. Understanding the triggers and patterns of these headaches is crucial for effective treatment and patient education.
Detailed headache diaries, patient history, and response to treatments.
Patients presenting with severe unilateral headaches, often with autonomic symptoms.
Neurologists must ensure accurate documentation of headache characteristics and triggers to support coding.
Comprehensive patient history and symptom assessment.
Patients with recurrent headaches seeking initial evaluation and management.
Primary care providers should document any referrals to specialists and treatment responses.
Used for follow-up visits for management of episodic cluster headaches.
Document patient history, headache frequency, and treatment response.
Neurologists may require more detailed documentation compared to primary care.
Common triggers include alcohol consumption, smoking, strong odors, and changes in sleep patterns. Identifying and avoiding these triggers can help manage the frequency of attacks.
