Tension-type headache
ICD-10 G44.2 is a billable code used to indicate a diagnosis of tension-type headache.
Tension-type headache (TTH) is characterized by a bilateral, pressing or tightening sensation that is often described as a band-like feeling around the head. It is the most common type of primary headache and can be episodic or chronic. The pain intensity is typically mild to moderate and does not worsen with routine physical activity. TTH is often associated with muscle tension in the neck and scalp, and it may be triggered by stress, anxiety, poor posture, or fatigue. Unlike migraines, TTH does not present with nausea, vomiting, or sensitivity to light and sound. The pathophysiology of TTH is not fully understood, but it is believed to involve muscle contraction and central sensitization. Diagnosis is primarily clinical, based on patient history and symptomatology, and it is essential to differentiate TTH from other headache disorders, particularly migraines, to ensure appropriate management. Treatment options include over-the-counter analgesics, lifestyle modifications, and preventive therapies for chronic cases.
Detailed headache history, including onset, duration, frequency, and associated symptoms.
Patients presenting with recurrent headaches, requiring differentiation from migraines.
Neurologists should document any neurological examinations performed to rule out secondary causes.
Comprehensive history and physical examination, including lifestyle factors and stressors.
Patients with episodic headaches seeking treatment for pain relief.
Primary care providers should assess for lifestyle modifications and stress management techniques.
Used for follow-up visits for patients with chronic tension-type headaches.
Document the patient's headache history, treatment response, and any changes in symptoms.
Neurologists may require more detailed neurological assessments.
Common triggers include stress, anxiety, poor posture, fatigue, and muscle tension. Identifying and managing these triggers can help reduce the frequency of headaches.
