occipital neuralgia and cervicogenic, cluster and migraine headaches
occipital neuralgia and cervicogenic, cluster and migraine headaches
occipital neuralgia and cervicogenic, cluster and migraine headaches
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HCPCS Code (not<br />
medically necessary)<br />
E0720<br />
L8680<br />
L8683<br />
L8685<br />
Description<br />
Transcutaneous electrical nerve stimulation (TENS) device, two lead,<br />
localized stimulation<br />
Implantable neurostimulator electrode (with any number of contact points),<br />
each<br />
Radiofrequency transmitter (external) for use with implantable<br />
neurostimulator radiofrequency receiver<br />
Implantable neurostimulator pulse generator, single array, rechargeable,<br />
includes extension<br />
ICD-9 Code Description<br />
784.0 Headache<br />
346.0-346.9 Migraine<br />
723.8 Other syndromes affecting cervical region (Occipital <strong>neuralgia</strong>)<br />
339.00-339.89 Cluster <strong>headaches</strong> <strong>and</strong> other trigeminal autonomic cephalgias<br />
307.81 Tension headache<br />
REFERENCES<br />
Acar F, Miller J, Golshani KJ, et al. Pain relief after cervical ganglionectomy (C2 <strong>and</strong> C3) for the<br />
treatment of medically intractable <strong>occipital</strong> <strong>neuralgia</strong>. Stereotact Funct Neurosurg. 2008;86(2):106-12.<br />
Afridi SK, Shields KG, Bhola R, et al. Greater <strong>occipital</strong> nerve injection in primary headache<br />
syndromes--prolonged effects from a single injection. Pain. 2006 May;122(1-2):126-9.<br />
Ahmed HE, White PF, Craig WF, et al. Use of percutaneous electrical nerve stimulation (PENS) in the<br />
short-term management of headache. Headache. 2000 Apr;40(4):311-5.<br />
Akın Takmaz S, Inan N, Uçler S, et al. Greater <strong>occipital</strong> nerve block in <strong>migraine</strong> headache:<br />
Preliminary results of 10 patients. Agri. 2008 Jan;20(1):47-50.<br />
Ambrosini A, V<strong>and</strong>enheede M, Rossi P, et al. Sub<strong>occipital</strong> injection with a mixture of rapid- <strong>and</strong> longacting<br />
steroids in <strong>cluster</strong> headache: a double-blind placebo-controlled study. Pain. 2005 Nov;118(1-<br />
2):92-6.<br />
American Association of Neurological Surgeons (AANS). Patient Information: Occipital Neuralgia.<br />
November 2006. Available at: http://www.aans.org/en/Patient%20Information.aspx Accessed July<br />
2012.<br />
American Society of Anesthesiologists Task Force on Chronic Pain Management; American<br />
Society of Regional Anesthesia <strong>and</strong> Pain Medicine (ASA/ASRA). Practice guidelines for chronic<br />
pain management: an updated report by the American Society of Anesthesiologists Task Force<br />
on Chronic Pain Management, <strong>and</strong> the American Society of Regional Anesthesia <strong>and</strong> Pain<br />
Occipital Neuralgia & Headache Page 18 of 24
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