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    v1.0.28
    OpenPayerBilling CodesSymptoms and signs involving the circulatory and respiratory systemsICD-10-CM r07-pain-in-throat-and-chest
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    ICD-10-CM Code For Pain In Throat And Chest: Group Overview

    The International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) code group R07 includes diagnoses for pain in the throat and chest, covering nonspecific chest pain, pleurodynia, and throat pain presentations without a confirmed diagnosis. These ICD-10-CM diagnosis codes are used to document acute symptom presentations, capture severity and location of pain, and record clinical complexity when a definitive cause is not yet established. Accurate coding within the ICD-10-CM R07 group supports proper claim adjudication, complete clinical documentation, and appropriate reimbursement.

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    ICD-10-CM R07: Pain In Throat And Chest Overview

    The diagnoses in this group represent symptoms of pain localized to the throat and chest, affecting the respiratory and circulatory systems. These codes capture presentations such as chest pain, pleurodynia, and throat pain that do not yet have a definitive etiology. Accurate coding matters for reimbursement because it ensures claims reflect the clinical presentation and supports appropriate billing and medical record documentation.

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    When to Use

    Use codes from this group when a patient presents with throat or chest pain and the clinician documents the symptom without assigning a definitive etiology. These codes are appropriate for initial encounters, evaluations, or when diagnostic workup is pending and the pain remains the primary reason for care.

    ICD-10-CM Codes

    7 rows

    ICD-10-CM CodeDescription
    R07.0Pain in throat
    R07.1Chest pain on breathing
    R07.2Precordial pain
    R07.81Pleurodynia
    R07.82Intercostal pain
    R07.89Other chest pain
    R07.9Chest pain, unspecified

    DRG Codes

    5 rows

    DRG CodeDescription
    154Other Ear, Nose, Mouth and Throat Diagnoses with MCC
    155Other Ear, Nose, Mouth and Throat Diagnoses with CC
    156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC
    204Respiratory Signs and Symptoms
    313Chest Pain

    Typical Clinical Scenarios

    • An adult presents to the emergency department with sudden, severe central chest pain described as pressure-like radiating to the left arm, accompanied by sweating and nausea. The chief concern is to rule out acute cardiac ischemia; initial ECG and troponins are performed, but while awaiting results the documented presenting symptom is chest pain without a confirmed cardiac diagnosis, so a symptom code is assigned. Typical codes: R07.9.
    • An older patient with known chronic gastroesophageal reflux disease reports intermittent burning substernal chest discomfort and throat pain that occurs after meals and when lying down; symptoms have persisted for months and are managed in primary care with medication adjustments. Because the visit addresses non-specific throat and chest pain related to an ongoing reflux pattern rather than a new definitive structural diagnosis, a code for throat pain or chest pain is used. Typical codes: R07.81, R07.82.
    • A middle-aged outpatient recovering from a recent respiratory infection complains of pleuritic chest pain and localized sternum tenderness that developed as a complication of persistent coughing; the clinician documents chest wall and pleuritic-type pain without a confirmed musculoskeletal fracture or specific pulmonary diagnosis. A symptom-level code for chest pain related to pleuritic or chest wall etiology is therefore assigned. Typical codes: R07.2, R07.89.

    Related Codes

    R00-ABNORMALITIES-OF-HEART-BEAT

    ICD-10-CM Code For Abnormalities Of Heart Beat: Group Overview

    R01-CARDIAC-MURMURS-AND-OTHER-CARDIAC-SOUNDS

    ICD-10-CM Code For Cardiac Murmurs And Other Cardiac Sounds: Group Overview

    R03-ABNORMAL-BLOOD-PRESSURE-READING

    ICD-10-CM Code For Abnormal Blood-Pressure Reading Without Diagnosis: Group Overview

    R04-HEMORRHAGE-FROM-RESPIRATORY-PASSAGES

    ICD-10-CM Code For Hemorrhage From Respiratory Passages: Group Overview

    R05-COUGH

    ICD-10-CM Code For Cough: Group Overview

    R06-ABNORMALITIES-OF-BREATHING

    ICD-10-CM Code For Abnormalities Of Breathing: Group Overview

    R09-OTHER-SYMPTOMS-AND-SIGNS

    ICD-10-CM Code For Other Symptoms And Signs Involving The Circulatory And Respiratory System: Group Overview

    Frequently Asked Questions

    References

    1. 1.CPT® Codes and Descriptions. AAPC. Retrieved Aug 11, 2026.Maintains the CPT code set's official descriptions and guidelines, licensed from the American Medical Association, used as the definitional source for CPT codes on this page.
    2. 2.HCPCS Quarterly Update. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's quarterly release of HCPCS Level II codes and short/long descriptors, the source for HCPCS code definitions and update history.
    3. 3.ICD-10-CM Full Code List. Centers for Medicare & Medicaid Services (CMS). Retrieved Aug 11, 2026.CMS's complete ICD-10-CM diagnosis code list, used to cross-reference diagnosis codes associated with this procedure or service.
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