New daily persistent headache (NDPH)
ICD-10 G44.52 is a billable code used to indicate a diagnosis of new daily persistent headache (ndph).
New daily persistent headache (NDPH) is a unique headache disorder characterized by the sudden onset of a daily headache that persists for at least three months. Unlike migraines or tension-type headaches, NDPH is notable for its continuous nature and the fact that it begins abruptly, often without any preceding symptoms. Patients typically describe the headache as a dull, non-pulsating pain that can vary in intensity. The exact etiology of NDPH remains unclear, but it may be associated with various triggers, including viral infections, stress, or changes in sleep patterns. Diagnosis is primarily clinical, relying on patient history and symptomatology, as there are no specific laboratory tests for NDPH. Treatment often involves a combination of acute and preventive strategies, including medications such as NSAIDs, anticonvulsants, or antidepressants. Understanding the patient's history and potential triggers is crucial for effective management and to prevent chronicity.
Detailed headache history, including onset, duration, and associated symptoms.
Patients presenting with new-onset daily headaches, often after a viral illness.
Neurologists should ensure clear differentiation from other headache types and document any neurological examinations performed.
Comprehensive patient history and any relevant lifestyle factors that may contribute to headache onset.
Patients with persistent headaches who may not have seen a specialist yet.
Primary care providers should document any referrals to specialists and the rationale for treatment choices.
Used for follow-up visits for patients with NDPH to assess treatment efficacy.
Document the patient's headache history, treatment response, and any changes in symptoms.
Neurologists may require more detailed neurological assessments during these visits.
NDPH is characterized by a daily headache that begins suddenly and persists for at least three months, while chronic migraine involves recurrent headaches that can vary in frequency and intensity. NDPH does not respond to typical migraine treatments and has distinct diagnostic criteria.
