Cervicogenic headache
ICD-10 G44.86 is a billable code used to indicate a diagnosis of cervicogenic headache.
Cervicogenic headache is a type of secondary headache that arises from cervical spine disorders. It is characterized by unilateral pain that is often referred from the neck to the head, typically localized in the occipital region or around the eyes. The pain may be exacerbated by neck movements or sustained postures, and it can be associated with neck stiffness, tenderness, and reduced range of motion. Patients may also experience symptoms similar to migraines, such as nausea or photophobia, but the primary source of pain is cervical in origin. Diagnosis is often made through clinical evaluation, including a thorough history and physical examination, and may involve imaging studies to rule out other causes. Treatment typically focuses on addressing the underlying cervical issues, which may include physical therapy, medication for pain relief, and in some cases, interventional procedures. Preventive treatments may also be considered, particularly for patients with chronic symptoms.
Detailed neurological examination findings, imaging results, and treatment plans.
Patients presenting with chronic headaches and neck pain, requiring differential diagnosis.
Neurologists must ensure clear documentation of headache characteristics and cervical spine assessment.
Assessment of functional limitations, treatment goals, and progress notes.
Patients undergoing rehabilitation for neck injuries presenting with headaches.
Focus on the relationship between cervical dysfunction and headache symptoms.
Used for patients with cervicogenic headaches undergoing physical therapy.
Documentation of treatment goals and patient progress.
Physical therapists should document the relationship between exercises and headache relief.
Cervicogenic headaches are primarily caused by disorders of the cervical spine, including degenerative disc disease, cervical spondylosis, and muscle tension.