ICD Code R51-

ICD code R51- is headache.

1. Presence of pain localized to the head, including the scalp, forehead, or occipital region

2. Patient reports acute or chronic headache symptoms

3. Headache is not attributable to trauma, vascular disorders, infection, or other specified causes

4. No evidence of underlying structural brain lesion or secondary cause after appropriate evaluation

5. Headache may be described as throbbing, pressure-like, sharp, or dull

6. May be associated with photophobia, phonophobia, or mild nausea, but without features specific to migraine or cluster headache

7. Symptoms may be episodic or persistent

8. Physical and neurological examinations are typically normal

Relevant CPT codes that may be used to treat ICD code R51- include:

99202–99215 (Evaluation and Management office visits)

96372 (Therapeutic, prophylactic, or diagnostic injection)

20552 (Injection(s); single or multiple trigger point(s), one or two muscle(s))

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 warranted)

93000 (Electrocardiogram, if indicated for assessment)

70450 (CT scan, head or brain, without contrast, if imaging is required)

70551–70553 (MRI brain, if imaging is required)

J3030 (Injection, sumatriptan, if medication management is indicated)

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