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v1.0.0
ICD-10 Guide
ICD-10 CodesG44.319

G44.319

Billable

Acute post-traumatic headache, not intractable

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 G44.319 is a billable code used to indicate a diagnosis of acute post-traumatic headache, not intractable.

Key Diagnostic Point:

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.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between types of headaches (e.g., migraine vs. tension-type)
  • Need for thorough documentation of the trauma and headache characteristics
  • Potential overlap with other headache disorders
  • Variability in patient response to treatment

Audit Risk Factors

  • Inadequate documentation of the traumatic event
  • Failure to specify headache characteristics
  • Misclassification of headache type
  • Lack of follow-up notes if headaches persist

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed history of the head injury, headache characteristics, and response to treatment.

Common Clinical Scenarios

Patients presenting with headaches following a concussion or other head trauma.

Billing Considerations

Neurologists should document any neurological deficits and the timeline of headache onset.

Emergency Medicine

Documentation Requirements

Immediate assessment of head injury, including Glasgow Coma Scale scores and imaging results.

Common Clinical Scenarios

Patients presenting to the ER with headaches after a fall or accident.

Billing Considerations

Emergency physicians must rule out serious conditions like intracranial bleeding.

Coding Guidelines

Inclusion Criteria

Use G44.319 When
  • According to ICD
  • 10 guidelines, G44
  • 319 should be used when the headache is acute and not classified as intractable
  • Documentation must support the diagnosis, including the timing of headache onset relative to the trauma

Exclusion Criteria

Do NOT use G44.319 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used for follow-up visits for headache management.

Documentation Requirements

Document history, examination findings, and treatment plan.

Specialty Considerations

Neurologists may require additional neurological assessments.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of headache types, improving the accuracy of data collection and treatment planning for post-traumatic headaches.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of headache types, improving the accuracy of data collection and treatment planning for post-traumatic headaches.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of headache types, improving the accuracy of data collection and treatment planning for post-traumatic headaches.

Resources

Clinical References

  • •
    American Academy of Neurology Guidelines

Coding & Billing References

  • •
    American Academy of Neurology Guidelines

Frequently Asked Questions

What is the difference between acute and chronic post-traumatic headache?

Acute post-traumatic headache occurs within 7 days of injury and typically resolves with treatment, while chronic post-traumatic headache persists beyond 3 months.