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Home/Diagnosis/ICD-10 Coding for Chest Pain Syndrome

ICD-10 Coding for Chest Pain Syndrome

R07.9
R07.1

Complete ICD-10-CM coding and documentation guide for icd-10 coding for chest pain syndrome includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Non-cardiac chest pain
Atypical chest pain
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Key Information: ICD-10 Coding for Chest Pain Syndrome

Essential facts and insights about ICD-10 Coding for Chest Pain Syndrome

Use ICD-10 code R07.9 for chest pain, unspecified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Chest pain, unspecified

Billable Code
R07.9
Billable

Diagnostic Criteria

clinical:
  • • No specific cause identified after evaluation
documentation:
  • • Detailed description of pain characteristics and negative test results

Applicable To

  • • Non-specific chest pain

Important Notes

  • • Ensure documentation supports the use of an unspecified code by indicating the lack of a definitive diagnosis.

Chest pain on breathing

Billable Code
R07.1
Billable

Diagnostic Criteria

clinical:
  • • Pain worsens with deep inspiration
  • • Pleural rub on examination

Applicable To

  • • Pleuritic pain

Important Notes

  • • Document the relationship between breathing and pain to justify this code.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z03.89

Encounter for observation for other suspected diseases and conditions ruled out

Use when chest pain is evaluated and no specific diagnosis is made.

R09.1

Pleurisy

Use when pleuritic pain is confirmed with pleural inflammation.

Frequently Asked Questions

What is the ICD-10 code for chest pain syndrome?

The ICD-10 code for unspecified chest pain is R07.9, while R07.1 is used for chest pain related to breathing.

When should R07.1 be used instead of R07.9?

R07.1 should be used when chest pain is specifically related to breathing, such as pleuritic pain.

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