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v1.0.0
ICD-10 Guide
ICD-10 CodesG44.82

G44.82

Billable

Headache associated with sexual activity

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

Code Description

ICD-10 G44.82 is a billable code used to indicate a diagnosis of headache associated with sexual activity.

Key Diagnostic Point:

Headache associated with sexual activity, also known as coital cephalalgia, is a type of headache that occurs during or after sexual activity. This condition can manifest as a sudden, severe headache that may be accompanied by other symptoms such as nausea or vomiting. The headache typically arises during sexual excitement or orgasm and can last from a few minutes to several hours. The exact pathophysiology is not fully understood, but it is believed to be related to increased intracranial pressure, vascular changes, or muscle tension during sexual activity. Patients may experience this type of headache as a primary condition or as a secondary symptom associated with other headache disorders, such as migraines or tension-type headaches. Identifying triggers, such as specific sexual positions or levels of exertion, can be crucial for management. Preventive treatments may include medications typically used for migraines, such as beta-blockers or triptans, and lifestyle modifications to reduce the frequency of episodes. It is essential for healthcare providers to differentiate this condition from more serious causes of headache, such as subarachnoid hemorrhage, particularly if the headache is sudden and severe.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiation from other headache types
  • Need for thorough patient history
  • Potential overlap with other headache disorders
  • Documentation of triggers and symptoms

Audit Risk Factors

  • Inadequate documentation of headache characteristics
  • Failure to document associated symptoms
  • Lack of patient history regarding sexual activity
  • Misclassification with other headache types

Specialty Focus

Medical Specialties

Neurology

Documentation Requirements

Detailed patient history, including headache characteristics, triggers, and response to treatments.

Common Clinical Scenarios

Patients presenting with recurrent headaches during or after sexual activity, requiring differentiation from other headache disorders.

Billing Considerations

Neurologists should ensure comprehensive evaluations to rule out secondary causes of headache.

Primary Care

Documentation Requirements

Thorough documentation of patient-reported symptoms and any relevant sexual health history.

Common Clinical Scenarios

Patients discussing headaches in the context of sexual activity during routine check-ups.

Billing Considerations

Primary care providers should be aware of the need for referrals to specialists if headaches are recurrent or severe.

Coding Guidelines

Inclusion Criteria

Use G44.82 When
  • According to ICD
  • 10 guidelines, G44
  • 82 should be used when the headache is specifically associated with sexual activity
  • Coders must ensure that the documentation supports the diagnosis, including the timing of the headache in relation to sexual activity and any associated symptoms

Exclusion Criteria

Do NOT use G44.82 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents for evaluation of headaches associated with sexual activity.

Documentation Requirements

Document the patient's history, examination findings, and treatment plan.

Specialty Considerations

Neurologists may require more detailed documentation compared to primary care providers.

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, including G44.82, which helps in better understanding and management of headache disorders associated with sexual activity.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of headache types, including G44.82, which helps in better understanding and management of headache disorders associated with sexual activity.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of headache types, including G44.82, which helps in better understanding and management of headache disorders associated with sexual activity.

Resources

Clinical References

  • •
    American Headache Society

Coding & Billing References

  • •
    American Headache Society

Frequently Asked Questions

What should be documented to support the use of G44.82?

Documentation should include the timing of the headache in relation to sexual activity, associated symptoms, patient history, and any previous treatments attempted.