Occipital neuralgia
ICD-10 M54.81 is a billable code used to indicate a diagnosis of occipital neuralgia.
Occipital neuralgia is a type of headache characterized by sharp, shooting pain that originates from the occipital nerves, which run from the top of the spinal cord up through the scalp. Patients often report unilateral pain that can be triggered by neck movement or pressure on the occipital area. The pain may be accompanied by symptoms such as sensitivity to light, nausea, and visual disturbances. Occipital neuralgia can be caused by various factors, including trauma, nerve compression, or inflammation. It is often confused with migraines or tension-type headaches, making accurate diagnosis crucial. Treatment options vary and may include conservative management such as physical therapy, medications (e.g., anti-inflammatories, muscle relaxants), and nerve blocks. In cases where conservative measures fail, surgical interventions like occipital nerve stimulation may be considered. Understanding the underlying causes and appropriate management strategies is essential for effective treatment and patient relief.
Detailed history of headache characteristics, triggers, and response to treatments.
Patients presenting with chronic headaches, particularly those with a history of neck trauma.
Ensure clear documentation of neurological examinations and any imaging studies performed.
Records of pain assessments, treatment plans, and responses to interventions.
Patients requiring nerve blocks or other interventional pain management techniques.
Document the rationale for choosing specific pain management strategies.
Used for patients with occipital neuralgia who require nerve block for pain relief.
Document the patient's pain history, response to previous treatments, and the specific site of injection.
Pain management specialists should ensure comprehensive pain assessments are documented.
Common treatments include physical therapy, medications such as NSAIDs, muscle relaxants, and nerve blocks. In refractory cases, surgical options like occipital nerve stimulation may be considered.
