Chronic cluster headache, not intractable
ICD-10 G44.029 is a billable code used to indicate a diagnosis of chronic cluster headache, not intractable.
Chronic cluster headache is a severe, unilateral headache disorder characterized by recurrent attacks of excruciating pain, typically localized around the eye or temple. These headaches occur in clusters, which can last for weeks to months, followed by periods of remission. Unlike episodic cluster headaches, chronic cluster headaches occur more frequently, with attacks occurring daily or multiple times a day. The pain is often described as sharp or burning and can be accompanied by autonomic symptoms such as lacrimation, nasal congestion, or ptosis. The diagnosis is primarily clinical, based on the patient's history and symptomatology. Triggers may include alcohol consumption, smoking, and changes in sleep patterns. Preventive treatments include medications such as verapamil, corticosteroids, and lithium, while acute treatments may involve triptans or oxygen therapy. Accurate coding is essential for appropriate management and reimbursement.
Detailed patient history, headache diary, and treatment response documentation.
Patients presenting with recurrent severe headaches, requiring differentiation from migraines or other headache disorders.
Neurologists should ensure comprehensive documentation of headache characteristics and response to treatments.
Thorough history and physical examination notes, including lifestyle factors and triggers.
Patients with headache complaints who may require referral to a specialist for further evaluation.
Primary care providers should document any lifestyle modifications or preventive measures discussed with the patient.
Used for follow-up visits for chronic cluster headache management.
Document history of present illness, review of systems, and treatment response.
Neurologists may require more detailed neurological examinations.
Chronic cluster headache occurs more frequently, with attacks happening daily or multiple times a day without significant remission periods, while episodic cluster headaches have distinct periods of headache-free intervals.
