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Home/Diagnosis/ICD-10 Coding for Pain in Throat

ICD-10 Coding for Pain in Throat

R07.0
J02.0

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

Also Known as:
Throat Pain
Pharyngeal Pain
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Key Information: ICD-10 Coding for Pain in Throat

Essential facts and insights about ICD-10 Coding for Pain in Throat

Use ICD-10 code R07.0 for pain in throat, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in throat

Billable Code
R07.0
Billable

Diagnostic Criteria

clinical:
  • • Throat pain without signs of infection or specific diagnosis.
coding:
  • • Avoid using R07.0 if a specific infectious cause is documented.

Applicable To

  • • Unexplained throat pain

Important Notes

  • • Ensure documentation specifies 'pain' rather than 'sore' to avoid incorrect coding.

Streptococcal pharyngitis

Billable Code
J02.0
Billable

Diagnostic Criteria

clinical:
  • • Positive RADT or throat culture for streptococcus

Applicable To

  • • Strep throat

Important Notes

  • • Ensure lab confirmation of streptococcal infection.
Ancillary Codes

Additional codes that may be used with this diagnosis

R13.1

Dysphagia

Use alongside R07.0 if the patient also experiences difficulty swallowing.

Frequently Asked Questions

What is the ICD-10 code for pain in throat?

The ICD-10 code for pain in throat is R07.0, used when the pain is unexplained and not due to a specific condition.

When should R07.0 be used instead of J02.9?

Use R07.0 for unexplained throat pain without confirmed infection. Use J02.9 for acute pharyngitis.

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