Cluster headache syndrome, unspecified
ICD-10 G44.00 is a billable code used to indicate a diagnosis of cluster headache syndrome, unspecified.
Cluster headache syndrome is characterized by recurrent, severe unilateral headaches that occur in clusters or cycles. 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. Patients may experience multiple attacks in a day, particularly during a cluster period, which can last weeks to months. The exact etiology remains unclear, but it is believed to involve hypothalamic activation and neurovascular mechanisms. Triggers can include alcohol consumption, smoking, and changes in sleep patterns. Unlike migraines, cluster headaches are not associated with aura and tend to occur at the same time each day, often waking patients from sleep. Treatment options include acute interventions such as oxygen therapy and triptans, as well as preventive treatments like verapamil and corticosteroids. Accurate diagnosis and management are crucial for improving the quality of life for affected individuals.
Detailed headache diaries, descriptions of headache characteristics, and response to treatments.
Patients presenting with recurrent headaches, particularly those with a history of cluster headaches.
Ensure documentation reflects the severity and frequency of headaches, as well as any associated symptoms.
Comprehensive patient history, including lifestyle factors and family history of headache disorders.
Initial evaluations of headache complaints, referrals to specialists.
Documenting the patient's response to initial treatments and any referrals made.
Used for follow-up visits for cluster headache management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological examinations.
Common triggers include alcohol consumption, smoking, strong odors, and changes in sleep patterns. Identifying and avoiding these triggers can help manage the frequency of attacks.
