Acute post-traumatic headache, intractable
ICD-10 G44.311 is a billable code used to indicate a diagnosis of acute post-traumatic headache, intractable.
Acute post-traumatic headache (PTH) is a type of headache that occurs following a traumatic brain injury (TBI), such as a concussion. It is characterized by its onset within 7 days of the injury and can persist for weeks or even months. Intractable headaches are those that do not respond to standard treatments, leading to significant impairment in daily functioning. Patients may experience a range of symptoms, including throbbing or pulsating pain, sensitivity to light and sound, nausea, and dizziness. The pathophysiology of acute PTH is complex and may involve neuroinflammatory processes, changes in cerebral blood flow, and alterations in neurotransmitter levels. Triggers for exacerbation can include physical activity, stress, and environmental factors. Preventive treatments may include pharmacological options such as beta-blockers, anticonvulsants, or antidepressants, alongside non-pharmacological approaches like cognitive behavioral therapy and lifestyle modifications. Accurate diagnosis and management are crucial to mitigate the impact of this debilitating condition.
Detailed history of the traumatic event, headache characteristics, and treatment history.
Patients presenting with headaches following a concussion or other head trauma.
Neurologists must ensure comprehensive documentation to support the diagnosis of intractable headaches.
Assessment of pain severity, functional impact, and response to previous treatments.
Patients with chronic pain following a traumatic brain injury seeking management.
Pain management specialists should document the multidisciplinary approach to treatment.
Used for follow-up visits for patients with intractable headaches.
Document the patient's headache history, treatment response, and any changes in symptoms.
Neurologists may need to provide detailed notes on headache management strategies.
Acute post-traumatic headache occurs within 7 days of a traumatic event, while chronic post-traumatic headache persists for more than 3 months following the injury.
