Episodic tension-type headache, intractable
ICD-10 G44.211 is a billable code used to indicate a diagnosis of episodic tension-type headache, intractable.
Episodic tension-type headache (TTH) is characterized by recurrent episodes of mild to moderate headache that typically presents bilaterally and is often described as a pressing or tightening sensation. Intractable tension-type headaches are those that are resistant to standard treatment protocols and significantly impair daily functioning. These headaches can be triggered by various factors, including stress, anxiety, poor posture, and sleep disturbances. Unlike migraines, TTH does not typically present with nausea or vomiting, and it is not aggravated by routine physical activity. The intractable nature of this condition necessitates a comprehensive approach to management, including both pharmacological and non-pharmacological interventions. Preventive treatments may include lifestyle modifications, cognitive-behavioral therapy, and medications such as tricyclic antidepressants. Understanding the triggers and implementing preventive strategies are crucial for reducing the frequency and severity of these headaches.
Detailed headache diaries, treatment history, and response to therapies.
Patients presenting with recurrent headaches that do not respond to standard treatments.
Neurologists must document the specific characteristics of the headache and any neurological examinations performed.
Comprehensive patient history, including lifestyle factors and previous treatments.
Patients with episodic headaches seeking management for intractable symptoms.
Primary care providers should assess for comorbid conditions that may contribute to headache frequency.
Used for follow-up visits for management of intractable headaches.
Detailed history of headache frequency, severity, and treatment response.
Neurologists may require additional documentation of neurological assessments.
Intractable tension-type headaches are characterized by their resistance to standard treatment protocols and significant impact on daily functioning, requiring a more comprehensive management approach.
