Chronic cluster headache, intractable
ICD-10 G44.021 is a billable code used to indicate a diagnosis of chronic cluster headache, intractable.
Chronic cluster headache is a severe, unilateral headache disorder characterized by recurrent episodes of intense pain, typically around one eye or one side of the head. These headaches occur in clusters, which can last for weeks to months, followed by periods of remission. Intractable chronic cluster headaches are those that do not respond to standard treatments, significantly impacting the patient's quality of life. The pain is often described as sharp or burning and can be accompanied by autonomic symptoms such as lacrimation, nasal congestion, or ptosis. Triggers for cluster headaches may include alcohol consumption, smoking, and changes in sleep patterns. Preventive treatments often include medications such as verapamil, corticosteroids, and lithium, while acute treatments may involve triptans or oxygen therapy. Accurate diagnosis and management are crucial, as the condition can lead to significant disability and distress.
Detailed headache diaries, treatment history, and response to therapies.
Patients presenting with recurrent headaches, requiring differential diagnosis.
Neurologists must document the severity, frequency, and duration of headaches to support coding.
Comprehensive pain assessments and treatment plans.
Management of chronic pain conditions, including cluster headaches.
Pain specialists should document the impact of headaches on daily functioning.
Used for follow-up visits for chronic cluster headache management.
Document history of present illness, review of systems, and treatment plan.
Neurologists should ensure thorough documentation of headache characteristics.
Chronic cluster headaches are characterized by their severe, unilateral pain, specific timing of attacks, and associated autonomic symptoms, differentiating them from migraines and tension-type headaches.
