Chronic tension-type headache
ICD-10 G44.22 is a billable code used to indicate a diagnosis of chronic tension-type headache.
Chronic tension-type headache (CTTH) is characterized by recurrent episodes of headache that occur on 15 or more days per month on average over a period of at least three months. These headaches are typically bilateral, pressing or tightening in quality, and of mild to moderate intensity. Unlike migraines, CTTH does not usually present with nausea, vomiting, or photophobia. The pain can be exacerbated by stress, fatigue, and poor posture, and may be associated with muscle tightness in the neck and shoulders. The pathophysiology of CTTH is not fully understood, but it is believed to involve a combination of muscle tension, psychological factors, and central sensitization. Diagnosis is primarily clinical, based on patient history and symptomatology, and may require exclusion of other headache disorders. Effective management often includes lifestyle modifications, pharmacological treatments, and preventive strategies aimed at reducing headache frequency and severity.
Detailed headache history, including frequency, duration, and associated symptoms.
Patients presenting with chronic headaches, often with a history of stress or muscle tension.
Neurologists should document any neurological examinations performed to rule out secondary causes.
Comprehensive patient history and lifestyle factors contributing to headaches.
Patients with chronic headaches seeking management for pain relief and preventive strategies.
Primary care providers should document any referrals to specialists and treatment plans.
Used for follow-up visits for chronic tension-type headache management.
Document the patient's headache frequency, severity, and response to treatment.
Neurologists may require more detailed neurological assessments.
Chronic tension-type headache is characterized by a pressing or tightening sensation without the severe pain, nausea, or aura commonly associated with migraines. It occurs more frequently and is often linked to stress and muscle tension.
