Tension-type headache, unspecified
ICD-10 G44.20 is a billable code used to indicate a diagnosis of tension-type headache, unspecified.
Tension-type headache (TTH) is characterized by a bilateral, pressing or tightening sensation that is often described as a band-like pressure around the head. It is the most common type of primary headache and can be episodic or chronic. The pain is typically mild to moderate in intensity and does not worsen with routine physical activity. Unlike migraines, TTH is not associated with nausea, vomiting, or sensitivity to light and sound. The exact pathophysiology remains unclear, but it is believed to involve muscle tension, stress, and neurovascular factors. Triggers may include stress, anxiety, poor posture, and fatigue. Diagnosis is primarily clinical, based on patient history and symptom description. Treatment options include over-the-counter analgesics, lifestyle modifications, and preventive measures for chronic cases. Understanding the nuances of TTH is crucial for effective management and coding.
Detailed headache history, including frequency, duration, and triggers.
Patients presenting with recurrent headaches, often with stress-related triggers.
Ensure differentiation from migraines and other headache disorders.
Comprehensive patient history and physical examination findings.
Patients with episodic headaches seeking relief or preventive strategies.
Document lifestyle factors and any previous treatments attempted.
Used for follow-up visits for headache management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological examinations.
Common triggers include stress, anxiety, poor posture, fatigue, and prolonged screen time. Identifying and managing these triggers can help reduce the frequency of headaches.
