Chronic tension-type headache, not intractable

This code signifies a persistent, non-pulsating headache characterized by a pressing or tightening sensation, typically bilateral, and not associated with nausea, vomiting, photophobia, or phonophobia. It describes a chronic form of tension-type headache that is responsive to treatment and does not significantly impair daily activities.

Apply this code when documentation indicates a patient experiences tension-type headaches occurring 15 or more days per month for at least three months, and the condition is manageable with standard therapies. Supporting documentation should clearly state "chronic tension-type headache" and explicitly or implicitly indicate it is "not intractable."

• Differentiate from episodic tension-type headaches (G44.21x) based on frequency criteria.
• Ensure documentation specifies "not intractable" to avoid using codes for intractable forms (G44.221).
• Consider sequencing with codes for associated symptoms or underlying conditions, if applicable.