Periodic headache syndromes in chld/adlt, not intractable

This code signifies recurrent headache disorders, such as episodic migraine or tension-type headache, occurring in either pediatric or adult patients. It specifically applies when these headache syndromes are responsive to treatment and do not significantly interfere with daily functioning. This diagnosis excludes chronic or refractory headache conditions.

Apply this code for patients presenting with a history of intermittent headaches that are well-controlled with medication or lifestyle modifications. Documentation should clearly indicate the episodic nature of the headaches and the absence of intractability, meaning the headaches are not severe, disabling, or resistant to standard therapies. This code is appropriate when the provider explicitly states the headache is "not intractable."

• Differentiate from G43.C1 (intractable) based on the physician's documentation regarding treatment response and severity.
• Do not use for chronic daily headaches or headaches that are refractory to multiple treatment attempts.
• Ensure the medical record specifies the "periodic" nature and explicitly states "not intractable" to support this code.