Episodic tension-type headache, intractable

This code signifies a tension-type headache that occurs episodically, meaning it has distinct periods of occurrence and remission, and is resistant to standard medical treatment. "Intractable" indicates that the headache is difficult to manage or alleviate with conventional therapies.

Apply this code when documentation clearly states a diagnosis of episodic tension-type headache that is refractory to treatment. This typically involves a patient presenting with recurrent, non-throbbing head pain, often described as a band-like pressure, and a history of failed medication trials or other interventions.

• Ensure documentation explicitly states "intractable" or describes treatment resistance.
• Do not use for chronic tension-type headaches; those have a different code.
• Consider sequencing with codes for any underlying conditions or complications if applicable.