Which is my default medical encyclopedia/ ICD-9 and CPT books (laugh if you want...it easier, faster, and more informative than the real thing)...
It could be a number of codes depending on the cause...
You should "see also", headache:
Pain in head NOS
atypical face pain (350.2)
tension headache (307.81)
Or, it could be one of these:
nonorganic origin 307.81
other trigeminal autonomic (TACS) 339.09
339.00 Cluster headache syndrome, unspecified
Cluster headache NOS
Lower half migraine
307.81 Tension headache
tension type (339.10-339.12)
339.09 Other trigeminal autonomic cephalgias
Website has 2009 codes, but they're free, and most of the codes are still valid.
* You shoudn't code the history if it's irrelevant to the encounter, and was just mentioned for informational purposes.
If it IS relevant, but not a current problem, I'd consider the personal History code, especially V12.49, because it is a specified condition, but it's going to depend on the cause of the headaches, to be sure...
V12 Personal history of certain other diseases
V12.4 Disorders of nervous system and sense organs
V12.40 Unspecified disorder of nervous system and sense organs
V12.41 Benign neoplasm of the brain
V12.42 Infections of the central nervous system
V12.49 Other disorders of nervous system and sense organs
If it's a current problem, and there has been a history of it, just code the headache with a numeric code. For example, if the note says, Chief complaint is headaches, and in the HPI, the patient's history of headaches is brought up, you're still only going to code the headache as a current condition, and leave off the V-code. It's hard to know without seeing the whole picture - sorry I can't be too helpful...
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