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ICD-10 Guide
ICD-10 CodesG44.86

G44.86

Billable

Cervicogenic headache

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G44.86 is a billable code used to indicate a diagnosis of cervicogenic headache.

Key Diagnostic Point:

Cervicogenic headache is a type of secondary headache that arises from cervical spine disorders. It is characterized by unilateral pain that is often referred from the neck to the head, typically localized in the occipital region or around the eyes. The pain may be exacerbated by neck movements or sustained postures, and it can be associated with neck stiffness, tenderness, and reduced range of motion. Patients may also experience symptoms similar to migraines, such as nausea or photophobia, but the primary source of pain is cervical in origin. Diagnosis is often made through clinical evaluation, including a thorough history and physical examination, and may involve imaging studies to rule out other causes. Treatment typically focuses on addressing the underlying cervical issues, which may include physical therapy, medication for pain relief, and in some cases, interventional procedures. Preventive treatments may also be considered, particularly for patients with chronic symptoms.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating cervicogenic headache from primary headache disorders like migraines.
  • Need for comprehensive documentation of cervical spine conditions.
  • Potential overlap with other headache types, complicating diagnosis.
  • Variability in patient presentation and response to treatment.

Audit Risk Factors

  • Inadequate documentation of cervical spine disorders.
  • Failure to differentiate from primary headache disorders.
  • Lack of evidence for treatment efficacy.
  • Inconsistent coding practices among providers.

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed neurological examination findings, imaging results, and treatment plans.

Common Clinical Scenarios

Patients presenting with chronic headaches and neck pain, requiring differential diagnosis.

Billing Considerations

Neurologists must ensure clear documentation of headache characteristics and cervical spine assessment.

Physical Medicine and Rehabilitation

Documentation Requirements

Assessment of functional limitations, treatment goals, and progress notes.

Common Clinical Scenarios

Patients undergoing rehabilitation for neck injuries presenting with headaches.

Billing Considerations

Focus on the relationship between cervical dysfunction and headache symptoms.

Coding Guidelines

Inclusion Criteria

Use G44.86 When
  • According to ICD
  • 10 guidelines, G44
  • 86 should be used when the headache is specifically attributed to cervical spine disorders
  • Documentation must clearly indicate the relationship between the cervical condition and headache symptoms

Exclusion Criteria

Do NOT use G44.86 When
  • Exclusion criteria include headaches not related to cervical issues

Related ICD-10 Codes

Related CPT Codes

97110CPT Code

Therapeutic exercises

Clinical Scenario

Used for patients with cervicogenic headaches undergoing physical therapy.

Documentation Requirements

Documentation of treatment goals and patient progress.

Specialty Considerations

Physical therapists should document the relationship between exercises and headache relief.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of cervicogenic headaches, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better understanding the prevalence and management of this condition.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of cervicogenic headaches, improving the accuracy of diagnosis and treatment tracking. This specificity aids in better understanding the prevalence and management of this condition.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    American Migraine Foundation

Coding & Billing References

  • •
    American Migraine Foundation

Frequently Asked Questions

What is the primary cause of cervicogenic headaches?

Cervicogenic headaches are primarily caused by disorders of the cervical spine, including degenerative disc disease, cervical spondylosis, and muscle tension.