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Home/Diagnosis/ICD-10 Coding for Throat Pain

ICD-10 Coding for Throat Pain

R07.0
J02.0

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

Also Known as:
Sore Throat
Pharyngalgia
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Key Information: ICD-10 Coding for Throat Pain

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

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:
  • • Negative strep test and absence of infection signs.
coding:
  • • Use R07.0 only when no specific diagnosis is confirmed.

Applicable To

  • • Throat pain
  • • Sore throat

Important Notes

  • • Ensure documentation supports the absence of a specific diagnosis to justify R07.0.

Streptococcal pharyngitis

Billable Code
J02.0
Billable

Diagnostic Criteria

clinical:
  • • Positive rapid strep test or culture
  • • Presence of fever and tonsillar exudate

Applicable To

  • • Strep throat

Important Notes

  • • Ensure positive test results are documented to support J02.0.
Ancillary Codes

Additional codes that may be used with this diagnosis

Z72.0

Tobacco use

Use when throat pain is related to tobacco use.

B95.0

Streptococcus, group A, as the cause of diseases classified elsewhere

Use to specify the bacterial cause of the infection.

Frequently Asked Questions

What is the ICD-10 code for throat pain?

The ICD-10 code for throat pain is R07.0, used when the pain is a symptom without a confirmed diagnosis.

When should R07.0 be used for throat pain?

Use R07.0 when throat pain is present without a confirmed diagnosis of infection, supported by negative test results.

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