Acute post-traumatic headache, not intractable
ICD-10 G44.319 is a billable code used to indicate a diagnosis of acute post-traumatic headache, not intractable.
Acute post-traumatic headache (PTH) is a type of headache that occurs following a head injury, typically within 7 days of the trauma. It is characterized by a range of symptoms that may resemble tension-type headaches or migraines. Patients may experience throbbing or pressing pain, sensitivity to light or sound, and nausea. Unlike intractable headaches, which are resistant to treatment, acute post-traumatic headaches are manageable with appropriate interventions. The headache may be triggered by physical activity, stress, or environmental factors. Diagnosis is primarily clinical, relying on patient history and symptomatology, and it is crucial to rule out other serious conditions such as intracranial hemorrhage. Treatment often includes analgesics, anti-inflammatory medications, and sometimes preventive therapies if headaches persist. Understanding the triggers and individual patient factors is essential for effective management and prevention of recurrence.
Detailed history of the head injury, headache characteristics, and response to treatment.
Patients presenting with headaches following a concussion or other head trauma.
Neurologists should document any neurological deficits and the timeline of headache onset.
Immediate assessment of head injury, including Glasgow Coma Scale scores and imaging results.
Patients presenting to the ER with headaches after a fall or accident.
Emergency physicians must rule out serious conditions like intracranial bleeding.
Used for follow-up visits for headache management.
Document history, examination findings, and treatment plan.
Neurologists may require additional neurological assessments.
Acute post-traumatic headache occurs within 7 days of injury and typically resolves with treatment, while chronic post-traumatic headache persists beyond 3 months.