Chronic tension-type headache, not intractable
ICD-10 G44.229 is a billable code used to indicate a diagnosis of chronic tension-type headache, not intractable.
Chronic tension-type headache (CTTH) is characterized by recurrent episodes of mild to moderate headache that typically presents bilaterally and is often described as a pressing or tightening sensation. Unlike migraines, CTTH does not usually involve nausea, vomiting, or sensitivity to light and sound. The headaches can last from 30 minutes to several days and may be triggered by stress, anxiety, poor posture, or muscle tension. Patients may experience these headaches on 15 or more days per month for at least three months. The condition is considered 'not intractable' when it does not significantly interfere with daily activities and can be managed with preventive treatments or lifestyle modifications. Effective management often includes identifying and avoiding triggers, physical therapy, stress management techniques, and pharmacological interventions such as analgesics or preventive medications. Understanding the chronic nature of this headache type is crucial for appropriate treatment and coding.
Detailed headache history, including frequency, duration, and associated symptoms.
Patients presenting with recurrent headaches, requiring differentiation from migraines.
Neurologists should document any neurological examinations and response to treatments.
Comprehensive patient history and lifestyle factors that may contribute to headaches.
Patients with chronic headaches seeking management strategies.
Primary care providers should focus on lifestyle modifications and preventive measures.
Used for follow-up visits for chronic headache management.
Document history of present illness, review of systems, and treatment plan.
Neurologists may require more detailed neurological examinations.
Chronic tension-type headaches are typically bilateral, described as a pressing or tightening sensation, and do not include nausea or sensitivity to light, which are common in migraines.
