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History of cephalgia

  1. Default History of cephalgia
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    What is the code for history of cephalgia?

  2. #2
    Arrow According to Google...
    Which is my default medical encyclopedia/ ICD-9 and CPT books (laugh if you 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:
    784.0 Headache
    Facial pain
    Pain in head NOS
    atypical face pain (350.2)
    migraine (346.0-346.9)
    tension headache (307.81)

    Or, it could be one of these:

    histamine 339.00
    nonorganic origin 307.81
    other trigeminal autonomic (TACS) 339.09
    psychogenic 307.81
    tension 307.81

    (see below)

    339.00 Cluster headache syndrome, unspecified
    Ciliary neuralgia
    Cluster headache NOS
    Histamine cephalgia
    Lower half migraine
    Migrainous neuralgia

    307.81 Tension headache
    NOS (784.0)
    migraine (346.0-346.9)
    syndromes (339.00-339.89)
    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...
    Last edited by btadlock1; 12-12-2010 at 05:31 PM.

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