Chest Pain ICD 10 general guidelines:
ICD-10-CM Code Category/ subcategory | ICD-10-CM Code | Description |
R07 | Pain in throat and chest | |
R07.0 | Pain in throat/ larynx | |
R07.1 | • Chest pain on breathing • Painful resp ... | |
R07.2 | • Precordial pain • Retrosternal pain • ... |
Chest Pain ICD 10 Example 1: A 21-year-old male patient came to the clinic with a chief complaint of acute intercostal chest pain secondary to being kicked in the chest. Code the appropriate ICD-10-CM code (s). Ans – R07.82 (intercostal chest pain), G89.11 (acute pain due to trauma)
The patient is discharged with a diagnosis of gastritis. Code unspecified chest pain (786.50), with 535.50 Unspecified gastritis and gastroduodenitis. If chest pain is diagnosed as musculoskeletal, report 786.52 Anterior chest wall pain (bony and cartilaginous structures and pleura).
Essential modifiers must be documented as indicated to code the specific type of chest pain. Chest pain (unspecified) (central) 786.59 (includes chest discomfort, pressure, and tightness) Atypical: 786.59 – Atypical chest pain is experienced outside the chest bone and tends to be sudden, sharp, and short-lived.
R07 ICD-10-CM Diagnosis Code R07. Pain in throat and chest 2016 2017 2018 2019 Non-Billable/Non-Specific Code. Type 1 Excludes epidemic myalgia (B33.0) Type 2 Excludes jaw pain R68.84. pain in breast (N64.4) Pain in throat and chest.
9 – Chest Pain, Unspecified. ICD-Code R07. 9 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Chest Pain, Unspecified.
R07. 89 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2022 edition of ICD-10-CM R07. 89 became effective on October 1, 2021.
ICD-10 code R07. 89 for Other chest pain is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
R07. 82 Intercostal pain - ICD-10-CM Diagnosis Codes.
ICD-10 code G89. 29 for Other chronic pain is a medical classification as listed by WHO under the range - Diseases of the nervous system .
9: Fever, unspecified.
ICD-Code I10 is a billable ICD-10 code used for healthcare diagnosis reimbursement of Essential (Primary) Hypertension.
Retrosternal means behind the breastbone, or sternum. Retrosternal chest pain, therefore, is a pain that occurs inside the chest. Although it's likely that pain behind the breastbone relates to the organs located there, such as the heart and esophagus, sometimes the pain originates elsewhere but is felt in this area.
What is Atypical Chest Pain? When one experiences chest pain that doesn't meet the criteria for angina, it's known as atypical chest pain. Angina chest pain is a pressure or squeezing like sensation that is usually caused when your heart muscle doesn't get an adequate supply of oxygenated blood.
ICD-10-CM Code for Intercostal pain R07. 82.
6: Pain in thoracic spine.
Intercostal neuralgia, also known as chest wall pain, is a condition that causes pain along the intercostal nerves between your ribs. It is caused by nerve compression in the area by the ribcage.
Chest Pain ICD 10 general guidelines: 1 Documentation is the key to accurate coding of the chest pain. If the chest pain is due to any underlying condition and there is documentation of a confirmed diagnosis, the code for chest pain is not to be coded separately. 2 The alphabetic index needs to be referred first followed by the tabular list for accurate coding. 3 The default ICD 10 code for chest pain is R07.9 (Chest pain, unspecified). Any additional document specifying the chest pain will require a more accurate code from the following list.
Painful respiration – Discomfort or pain associated with inhalation and exhalation due to underlying causes such as infections, musculoskeletal injuries or heart problems .
This is one of the common type of chest pain seen in children and adolescents. Retrosternal pain – Pain behind the sternum or breast commonly caused due to gastrointestinal problems such as GERD.
Documentation is the key to accurate coding of the chest pain. If the chest pain is due to any underlying condition and there is documentation of a confirmed diagnosis, the code for chest pain is not to be coded separately.
Costochondral pain – Chest pain caused by the inflammation of the cartilage in the rib cage (Costochondritis) that mimics the pain caused due to a heart attack or other heart conditions. Chest wall syndrome – Stress or injury causing direct or referred pain to the chest wall.
Other less common causes are respiratory and cardiac conditions or tumors. Substernal pain – Pain below the sternum commonly caused due to gastrointestinal problems. Pleurodynia/Pleuritic chest pain/Pleuralgia – Severe sharp, gripping pain in the muscles between the ribs or in the diaphragm.
Chest tightness – This can be due to serious underlying cause s such as heart attack, asthma, pulmonary hypertension, ulcers, rib fracture or due to GERD, muscle strain.
costochondritis - an inflammation of joints in your chest. some of these problems can also be serious. Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain along with nausea, sweating, dizziness or shortness of breath.
There can be many other causes, including. heart problems, such as angina. panic attacks. digestive problems, such as heartburn or esophagus disorders. sore muscles. lung diseases, such as pneumonia, pleurisy, or pulmonary embolism. costochondritis - an inflammation of joints in your chest.
Chest pain is a common complaint in the urgent care setting, and is not always related to an acute heart condition. The characteristics of chest pain depend on the cause, and may be described as ischemic, nonischemic, noncardiac gastroesphageal, pulmonary, or musculoskeletal.#N#Ischemic cardiac diagnoses includes angina, myocardial infarction, aortic stenosis, hypertrophic cardiomyopathy, and coronary vasospasm. Nonischemic cardiac causes of chest pain include pericarditits, aortic dissection, and mitral valve prolapse.#N#Non-cardiac causes may include gastroesophageal, pulmonary, musculoskeletal, and dermatologic events. Gastroesophageal causes may include reflux esophagitis, esophageal spasm, esophageal perforation, gastritis and peptic ulcer disease, and achalasia. Pulmonary causes may include pneumothorax, pulmonary embolism, pleuritis, neoplasm, and bronchitis. Musculoskeletal causes may include costochondritis, rib fracture, compression fracture. One dermatologic cause is herpes zoster (shingles).#N#Anxiety or panic attacks often bring on bouts of chest pain, accompanied by intense fear, rapid heartbeat, rapid breathing (hyperventilation), profuse sweating, and shortness of breath.#N#The official coding guidelines that apply to outpatient coding do not allow coding for an “uncertain” diagnosis. Instead, the patient’s symptoms and signs are acceptable for reporting purposes when the provider has not established (confirmed) a diagnosis.#N#To index chest pain in ICD-9-CM, start with main term pain, sub-term chest, followed byessential modifiers describing the type of chest pain. Essential modifiers must be documented as indicated to code the specific type of chest pain.
The primary diagnosis code for the EKG should be chest pain, unspecified (786.50). Although the EKG was normal, a definitiv e cause for the chest pain was not determined.