ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 G44.209

Billable / Specific

Tension-type headache, unspecified, not intractable

G44
Block
1
Synonyms
168
LCDs
16
Payer Policies
3
Linked CPTs

About ICD-10-CM G44.209

ICD-10-CM code G44.209 represents Tension-type headache, unspecified, not intractable. This is a billable/specific code in the Nervous System chapter (block G44). The 2026 edition of ICD-10-CM G44.209 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under G44.209. Per CMS ICD-10-CM Tabular 2026.

  • Tension headache NOS

Medicare LCD Coverage for G44.209

Local Coverage Determinations (LCDs) from CMS MACs that list G44.209 as a covered diagnosis.

168 LCDs

Showing top 10 of 168 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Trigger Point Injections (TPI)
Article ID: 57701, Effective: 2026-01-01 00:00:00, 10 covered, 138 non-covered
CPT 20552 →
CMS LCD: Billing and Coding: Trigger Point Injections (TPI)
Article ID: 57701, Effective: 2026-01-01 00:00:00, 10 covered, 138 non-covered
CPT 20553 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98942 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98940 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98941 →
CMS LCD: Billing and Coding: Chiropractic Services
Article ID: 56273, Effective: 2025-08-28 00:00:00, 315 covered, 0 non-covered
CPT 98943 →
CMS LCD: Billing and Coding: Psychiatric Inpatient Hospitalization
Article ID: 57052, Effective: 2026-03-26 00:00:00, 422 covered, 0 non-covered
CPT XX000 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64420 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 20561 →
CMS LCD: Billing and Coding: Peripheral Nerve Blocks
Article ID: 57452, Effective: 2025-10-01 00:00:00, 1570 covered, 0 non-covered
CPT 64415 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing G44.209.

16 policies

2 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Headache, Occipital, and/or Trigeminal Neuralgia Treatment - (0063)
Policy ID: MM_0063

5 Medicare

Billing and Coding: Chiropractic Services
Policy ID: ART-56273
Billing and Coding: CT of the Head
Policy ID: ART-56612
Billing and Coding: Psychiatric Inpatient Hospitalization
Policy ID: ART-57052
Billing and Coding: Psychiatric Partial Hospitalization Programs
Policy ID: ART-57053
Billing and Coding: Psychiatric Codes
Policy ID: ART-57130

CPT Codes Commonly Billed with G44.209

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

3 linkages
  • 20552 CMS LCD: Billing and Coding: Trigger Point Injections (TPI) CMS LCD
  • 20553 CMS LCD: Billing and Coding: Trigger Point Injections (TPI) CMS LCD
  • 98943 CMS LCD: Billing and Coding: Chiropractic Services CMS LCD

Convert G44.209 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
G44.209 30781 10000
G44.209 33910 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

Codes Adjacent To G44.209

Other codes in section G40-G47 (Episodic and paroxysmal disorders).

G40 Epilepsy and recurrent seizures (non-billable) G40.0 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset (non-billable) G40.00 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable (non-billable) G40.001 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, with status epilepticus G40.009 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, not intractable, without status epilepticus G40.01 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable (non-billable) G40.011 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, with status epilepticus G40.019 Localization-related (focal) (partial) idiopathic epilepsy and epileptic syndromes with seizures of localized onset, intractable, without status epilepticus G40.1 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures (non-billable) G40.10 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable (non-billable) G40.101 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, with status epilepticus G40.109 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, not intractable, without status epilepticus G40.11 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable (non-billable) G40.111 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, with status epilepticus G40.119 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with simple partial seizures, intractable, without status epilepticus G40.2 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures (non-billable) G40.20 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable (non-billable) G40.201 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, with status epilepticus G40.209 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus G40.21 Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable (non-billable)

ICD-10 G44.209, Billing FAQ

Is ICD-10 code G44.209 billable? +

Yes, G44.209 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to G44.209? +

ICD-10 G44.209 includes: Tension headache NOS.

What CPT codes are commonly billed with G44.209? +

Procedures frequently paired with G44.209 include: 20552, 20553, 98943.

What ICD-9 codes does G44.209 map to? +

Per CMS GEMs, G44.209 maps to ICD-9 codes: 30781, 33910. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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