MCMCB Pro
G44.221

G44.221Chronic tension-type headache, intractable

Billable / specific codeICD-10-CM

G44.221 is a billable, specific ICD-10-CM code for chronic tension-type headache, intractable. It is valid for submission on a claim.

Risk adjustment

G44.221 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Medicare coverage

G44.221 is named in 6 Medicare coverage policies 6 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

  • A56612Billing and Coding: CT of the Head
  • A57701Billing and Coding: Trigger Point Injections (TPI)
  • A59480Billing and Coding: Trigger Point Injections (TPI)
  • A59487Billing and Coding: Trigger Point Injections (TPI)

How G44.221 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to G44.221.

  • Headachetensionchronicintractable

Related codes at this level

Codes that share G44.22. If G44.221 is not quite right, the correct code is usually one of these.

Questions about G44.221

Is G44.221 a billable ICD-10-CM code?
Yes. G44.221 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does G44.221 sit in the tabular list?
Diseases of the nervous system (G00-G99), in the block Episodic and paroxysmal disorders (G40-G47).
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.