Episodic tension-type headache, not intractable
ICD-10 G44.219 is a billable code used to indicate a diagnosis of episodic tension-type headache, not intractable.
Episodic tension-type headache (TTH) is characterized by mild to moderate bilateral, pressing or tightening quality of pain that is not aggravated by routine physical activity. These headaches can last from 30 minutes to several days and are often associated with muscle tightness in the neck and scalp. Unlike migraines, episodic TTH does not present with nausea, vomiting, or sensitivity to light and sound. The condition is classified as 'not intractable' when the headaches occur less than 15 days per month and do not significantly interfere with daily activities. Common triggers include stress, anxiety, poor posture, and fatigue. Preventive treatments may include lifestyle modifications, physical therapy, and over-the-counter analgesics. Understanding the episodic nature of this headache type is crucial for effective management and coding, as it distinguishes it from chronic forms and other headache disorders.
Detailed headache history, including frequency, duration, and triggers.
Patients presenting with recurrent headaches, often triggered by stress or tension.
Ensure clear differentiation from migraine and chronic headache types.
Comprehensive patient history and physical examination findings.
Patients with episodic headaches seeking management or preventive strategies.
Document lifestyle factors and any non-pharmacological interventions.
Used for follow-up visits for headache management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological examinations.
Episodic tension-type headaches occur less than 15 days per month, while chronic tension-type headaches occur 15 or more days per month. The management and coding for these conditions differ significantly.
