Episodic paroxysmal hemicrania, intractable
ICD-10 G44.031 is a billable code used to indicate a diagnosis of episodic paroxysmal hemicrania, intractable.
Episodic paroxysmal hemicrania is a rare type of primary headache disorder characterized by recurrent, unilateral headaches that are typically short in duration but occur frequently throughout the day. The intractable form of this condition indicates that the headaches are resistant to standard treatments and significantly impair the patient's quality of life. Patients often experience severe, stabbing pain localized to one side of the head, accompanied by autonomic symptoms such as lacrimation, nasal congestion, or ptosis. The headaches can be triggered by various factors, including changes in sleep patterns, stress, certain foods, and hormonal fluctuations. Unlike other headache disorders, episodic paroxysmal hemicrania responds well to indomethacin, a nonsteroidal anti-inflammatory drug, which can help alleviate symptoms. However, intractable cases may require more aggressive treatment strategies, including preventive medications and lifestyle modifications to manage triggers effectively.
Detailed headache diaries, treatment history, and response to medications are essential for accurate coding.
Patients presenting with recurrent unilateral headaches that do not respond to typical migraine treatments.
Neurologists should ensure comprehensive documentation of headache characteristics and treatment efficacy.
Records of pain management strategies, including medication trials and alternative therapies.
Patients with chronic pain syndromes who also experience episodic paroxysmal hemicrania.
Pain management specialists should document the impact of headaches on overall pain management strategies.
Used for follow-up visits to manage headache treatment plans.
Document the patient's headache frequency, severity, and response to treatment.
Neurologists should ensure that all relevant headache characteristics are documented.
Episodic paroxysmal hemicrania is characterized by short, severe unilateral headaches that occur multiple times a day and respond specifically to indomethacin, distinguishing it from other headache types such as migraines.
