Episodic paroxysmal hemicrania, not intractable
ICD-10 G44.039 is a billable code used to indicate a diagnosis of episodic paroxysmal hemicrania, not intractable.
Episodic paroxysmal hemicrania is a primary headache disorder characterized by recurrent, unilateral headaches that are typically short in duration, lasting from 2 to 30 minutes. These headaches occur in clusters, often several times a day, and are associated with autonomic symptoms such as conjunctival injection, nasal congestion, or lacrimation. Unlike other headache disorders, paroxysmal hemicrania is responsive to indomethacin, a nonsteroidal anti-inflammatory drug. The term 'not intractable' indicates that the condition is manageable and does not resist treatment. Patients may experience significant disability during headache episodes, but the episodic nature allows for periods of relief. Triggers can include alcohol consumption, certain foods, and changes in sleep patterns. Preventive treatments may involve lifestyle modifications and pharmacological interventions aimed at reducing the frequency and severity of headache attacks.
Detailed headache diaries, treatment response records, and patient history.
Patients presenting with recurrent unilateral headaches and autonomic symptoms.
Ensure clear documentation of headache characteristics and treatment efficacy.
Comprehensive patient history and symptom assessment.
Patients with episodic headaches seeking management options.
Referral to neurology may be necessary for complex cases.
Used during follow-up visits for headache management.
Document patient history, headache characteristics, and treatment response.
Neurologists may require more detailed documentation compared to primary care.
Episodic paroxysmal hemicrania is characterized by shorter headache duration, unilateral pain, and a strong response to indomethacin, unlike migraines which can last longer and have different treatment responses.
