ICD Code G44.221

ICD code G44.221 is chronic tension-type headache that is difficult to treat or does not respond well to standard therapies.

1. Headache occurring on 15 or more days per month for more than 3 months

2. Headache lasting from 30 minutes to 7 days per episode

3. Bilateral location of pain

4. Pressing or tightening (non-pulsating) quality

5. Mild or moderate intensity

6. Not aggravated by routine physical activity such as walking or climbing stairs

7. No more than one of photophobia or phonophobia

8. No nausea or vomiting

9. Headache is persistent and does not respond to standard treatment (intractable)

Relevant CPT codes that may be used to treat ICD code G44.221 include:

- 99202–99215 (Evaluation and Management office visits)

- 96372 (Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular)

- 20552 (Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s))

- 20553 (Injection(s); single or multiple trigger point(s), 3 or more muscles)

- 64615 (Chemodenervation of muscle(s); muscle(s) innervated by facial, trigeminal, cervical spinal, and accessory nerves, bilateral)

- 90832–90838 (Psychotherapy services, if indicated)

- 97110 (Therapeutic exercises, if physical therapy is part of the treatment plan)

These CPT codes are commonly associated with the management and treatment of ICD code G44.221.

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