Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT), not intractable
ICD-10 G44.059 is a billable code used to indicate a diagnosis of short lasting unilateral neuralgiform headache with conjunctival injection and tearing (sunct), not intractable.
Short lasting unilateral neuralgiform headache with conjunctival injection and tearing (SUNCT) is a rare primary headache disorder characterized by recurrent, brief episodes of unilateral headache that are often accompanied by autonomic symptoms such as conjunctival injection and tearing. The headaches typically last from a few seconds to several minutes and can occur multiple times a day. Unlike cluster headaches, SUNCT headaches are not associated with a specific time of day and can occur at any time. The pain is often described as sharp or stabbing and is localized to one side of the head. The condition is considered not intractable when the episodes are manageable and do not significantly impair the patient's quality of life. Triggers may include stress, certain foods, or changes in sleep patterns. Preventive treatments may involve medications such as lamotrigine or topiramate, which have shown efficacy in reducing the frequency of attacks. Accurate diagnosis and coding are essential for appropriate management and treatment planning.
Detailed headache diaries, descriptions of headache characteristics, and response to treatments.
Patients presenting with recurrent unilateral headaches with autonomic symptoms.
Neurologists should ensure comprehensive documentation of the patient's headache history and any associated symptoms to support the diagnosis.
Assessment of pain intensity, frequency, and impact on daily activities.
Patients seeking management for chronic headache disorders with a focus on pain relief strategies.
Pain management specialists should document the effectiveness of interventions and any changes in headache patterns.
Used when a patient with SUNCT presents for follow-up and management of their condition.
Documentation must include a review of symptoms, treatment response, and any changes in headache patterns.
Neurologists should ensure that the visit notes reflect the complexity of managing SUNCT.
Common triggers for SUNCT may include stress, certain foods, alcohol consumption, and changes in sleep patterns. Identifying triggers can help in managing the condition.
