Tension-type headache, unspecified, not intractable
ICD-10 G44.209 is a billable code used to indicate a diagnosis of tension-type headache, unspecified, not intractable.
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 is typically mild to moderate in intensity and does not worsen with routine physical activity. Unlike migraines, TTH is not associated with nausea, vomiting, or sensitivity to light and sound. The exact pathophysiology remains unclear, but it is believed to involve muscle tension, stress, and psychological factors. Triggers may include stress, poor posture, fatigue, and dehydration. Preventive treatments may include lifestyle modifications, stress management techniques, and pharmacological options such as analgesics or antidepressants. It is crucial for healthcare providers to differentiate TTH from other headache disorders, particularly migraines, to ensure appropriate management and treatment.
Detailed headache history, including frequency, duration, and associated symptoms.
Patients presenting with recurrent headaches, requiring differentiation from migraines.
Consideration of comorbid conditions such as anxiety or depression that may exacerbate TTH.
Comprehensive patient history and physical examination findings.
Patients with occasional headaches seeking reassurance and management options.
Emphasis on lifestyle factors and preventive strategies.
Used for follow-up visits for patients with tension-type headaches.
Document history of present illness, review of systems, and treatment response.
Neurologists may require more detailed neurological examinations.
Common triggers include stress, poor posture, fatigue, dehydration, and lack of sleep. Identifying and managing these triggers can help reduce the frequency of headaches.
Preventive measures include lifestyle modifications such as regular exercise, stress management techniques, and, in some cases, pharmacological treatments like analgesics or antidepressants.
