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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ICD-10-CM Code For Pain In Throat And Chest: Group Overview

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

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 Code	Description
R07.0	Pain in throat
R07.1	Chest pain on breathing
R07.2	Precordial pain
R07.81	Pleurodynia
R07.82	Intercostal pain
R07.89	Other chest pain
R07.9	Chest pain, unspecified

DRG Codes

5 rows

DRG Code	Description
154	Other Ear, Nose, Mouth and Throat Diagnoses with MCC
155	Other Ear, Nose, Mouth and Throat Diagnoses with CC
156	Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC
204	Respiratory Signs and Symptoms
313	Chest 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.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.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.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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When to Use

ICD-10-CM Codes

7 rows

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

DRG Codes

5 rows

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

Published by

Trek Health powers OpenPayer with a leading commercial payer intelligence platform, seamlessly converting fragmented payer data into actionable insights for provider organizations.

ICD-10-CM Code For Pain In Throat And Chest: Group Overview

Sign up for ICD-10-CM Code For Pain In Throat And Chest: Group Overview policy alerts

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

ICD-10-CM Code For Pain In Throat And Chest: Group Overview

Sign up for ICD-10-CM Code For Pain In Throat And Chest: Group Overview policy alerts

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

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which diagnoses are included in ICD-10-CM code group R07?

How is coding within R07 used for claims and documentation?

Which DRGs are related to R07 diagnoses?

When should a provider use an R07 code instead of a definitive diagnosis?

What types of pain presentations are specifically noted in the R07 group?

References

When to Use

ICD-10-CM Codes

DRG Codes

Typical Clinical Scenarios

Related Codes

Which diagnoses are included in ICD-10-CM code group R07?

How is coding within R07 used for claims and documentation?

Which DRGs are related to R07 diagnoses?

When should a provider use an R07 code instead of a definitive diagnosis?

What types of pain presentations are specifically noted in the R07 group?

References