Episodic tension-type headache
ICD-10 G44.21 is a billable code used to indicate a diagnosis of episodic tension-type headache.
Episodic tension-type headache (ETTH) is characterized by recurrent episodes of mild to moderate headache that typically present bilaterally and are often described as a pressing or tightening sensation. These headaches can last from 30 minutes to several days and are not aggravated by routine physical activity. Unlike migraines, ETTH does not present with nausea, vomiting, or photophobia. The pathophysiology of ETTH is not fully understood, but it is believed to involve muscle tension and stress as primary triggers. Common triggers include emotional stress, fatigue, poor posture, and environmental factors. Preventive treatments may include lifestyle modifications, stress management techniques, and pharmacological interventions such as analgesics or muscle relaxants. Accurate diagnosis is essential to differentiate ETTH from other headache disorders, particularly migraines, which may require different management strategies.
Detailed headache history, including frequency, duration, and associated symptoms.
Patients presenting with recurrent headaches, often after stressful events.
Ensure differentiation from chronic tension-type headaches and migraines.
Comprehensive patient history and lifestyle factors that may contribute to headaches.
Patients with episodic headaches seeking management strategies.
Consider referral to a specialist if headaches are frequent or severe.
Used when a patient with episodic tension-type headaches presents for management.
Document the history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological examinations.
Common triggers include stress, fatigue, poor posture, and environmental factors such as noise or bright lights.
Preventive measures include lifestyle modifications, stress management techniques, and, in some cases, pharmacological treatments.
