Cluster headaches and other trigeminal autonomic cephalggias (TAC)
ICD-10 G44.0 is a billable code used to indicate a diagnosis of cluster headaches and other trigeminal autonomic cephalggias (tac).
Cluster headaches are a type of primary headache disorder characterized by recurrent, severe unilateral headaches that occur in clusters or episodes. These headaches are often accompanied by autonomic symptoms such as lacrimation, nasal congestion, and ptosis on the affected side. The pain is typically described as sharp or burning and can last from 15 minutes to three hours. The condition is more prevalent in men than women and often begins in adulthood. Trigeminal autonomic cephalgias (TAC) encompass a group of headache disorders that share similar features, including cluster headaches, paroxysmal hemicrania, and short-lasting unilateral neuralgiform headache attacks. Triggers for cluster headaches can include alcohol consumption, smoking, and changes in sleep patterns. Preventive treatments may include medications such as verapamil, corticosteroids, and lithium, while acute attacks can be treated with oxygen therapy or triptans. Accurate diagnosis and coding are essential for effective management and treatment planning.
Detailed headache history, including frequency, duration, and associated symptoms.
Patients presenting with recurrent unilateral headaches, particularly during cluster periods.
Ensure documentation includes response to treatments and any changes in headache patterns.
Comprehensive pain assessment and treatment history.
Management of chronic cluster headache patients requiring multimodal pain management strategies.
Document all interventions and patient responses to avoid audit issues.
Used for follow-up visits for cluster headache management.
Document history of present illness, review of systems, and treatment response.
Neurologists should ensure detailed headache diaries are reviewed.
Common triggers include alcohol consumption, smoking, strong odors, and changes in sleep patterns. Identifying these triggers can help in managing the condition.
