Tension-type headache, unspecified, intractable
ICD-10 G44.201 is a billable code used to indicate a diagnosis of tension-type headache, unspecified, intractable.
Tension-type headaches (TTH) are characterized by a pressing or tightening sensation, often described as a band-like feeling around the head. They can be episodic or chronic, with the intractable form indicating that the headache is resistant to treatment and significantly impacts the patient's quality of life. Patients may experience mild to moderate pain, which can last from 30 minutes to several days. Triggers for TTH can include stress, anxiety, poor posture, and muscle tension. Unlike migraines, TTH does not typically present with nausea, vomiting, or sensitivity to light and sound. The intractable nature of this condition often necessitates a comprehensive treatment approach, including both pharmacological and non-pharmacological strategies. Preventive treatments may involve lifestyle modifications, stress management techniques, and medications such as antidepressants or muscle relaxants. Accurate diagnosis and coding are crucial for effective management and reimbursement.
Detailed patient history, including headache frequency, duration, and response to treatments.
Patients presenting with chronic headaches that do not respond to standard treatments.
Neurologists should document any neurological examinations and consider comorbid conditions.
Comprehensive records of patient symptoms, lifestyle factors, and any referrals to specialists.
Patients with recurrent headaches seeking initial evaluation and management.
Primary care providers should assess for lifestyle modifications and psychosocial stressors.
Used for follow-up visits for patients with intractable tension-type headaches.
Document the patient's headache history, treatment response, and any changes in management.
Neurologists may require more detailed neurological assessments.
Intractable tension-type headaches are characterized by their resistance to standard treatments and their significant impact on the patient's quality of life. They often require a more comprehensive management approach.
