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Home/Diagnosis/ICD-10 Coding for Thorax Pain

ICD-10 Coding for Thorax Pain

M54.6
R07.1
M94.0

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

Also Known as:
Chest Pain
Thoracic Spine Pain
Musculoskeletal Chest Pain
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Key Information: ICD-10 Coding for Thorax Pain

Essential facts and insights about ICD-10 Coding for Thorax Pain

Use ICD-10 code M54.6 for pain in thoracic spine, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Pain in thoracic spine

Billable Code
M54.6
Billable

Diagnostic Criteria

clinical:
  • • Pain localized to thoracic spine with normal imaging
coding:
  • • Excludes disc disorders

Applicable To

  • • Thoracic spine pain

Important Notes

  • • Ensure exclusion of disc disorders before using M54.6.

Chest pain on breathing

Billable Code
R07.1
Billable

Diagnostic Criteria

clinical:
  • • Pain linked to respiratory movements

Applicable To

  • • Pain worsens with deep breathing

Important Notes

  • • Ensure respiratory link is documented.

Chondrocostal junction syndrome [Tietze]

Billable Code
M94.0
Billable

Diagnostic Criteria

clinical:
  • • Reproducible sternal tenderness

Applicable To

  • • Costochondritis

Important Notes

  • • Document sternal tenderness clearly.
Ancillary Codes

Additional codes that may be used with this diagnosis

G89.21

Chronic pain syndrome

Use for chronic thoracic pain lasting more than 3 months.

Frequently Asked Questions

What is the ICD-10 code for thorax pain?

The ICD-10 code for thorax pain, specifically thoracic spine pain, is M54.6. For chest pain related to breathing, use R07.1.

How do you document thorax pain for ICD-10 coding?

Document thorax pain by specifying the location, quality, severity, and any associated symptoms to ensure accurate ICD-10 coding.

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