ICD-10 Coding for Chest Discomfort(R07.89, R07.1)
Complete ICD-10-CM coding and documentation guide for Chest Discomfort. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chest Discomfort
R07.1-R07.9Primary Range
Chest pain codes including pleuritic and unspecified chest pain
These codes cover various types of chest pain, including pleuritic and unspecified, which are commonly used in clinical settings.
Ischemic heart diseases including angina and myocardial infarction
This range is relevant for differentiating cardiac-related chest discomfort, such as angina or myocardial infarction.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R07.89 | Other chest pain | Use when chest pain is determined to be non-cardiac after ruling out cardiac causes. |
|
| R07.1 | Chest pain on breathing | Use when chest pain is linked to respiratory movements, such as pleuritic pain. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for chest discomfort
Essential facts and insights about Chest Discomfort
Primary ICD-10-CM Codes for chest discomfort
Decision Criteria
clinical Criteria
- Pain is reproducible on palpation and worsens with movement.
Applicable To
- Non-cardiac chest pain
Excludes
- Cardiac chest pain (I20-I25)
Clinical Validation Requirements
- Pain reproducible on palpation
- Worsened by movement
- Absence of cardiac biomarkers
Code-Specific Risks
- Misclassification if cardiac causes are not thoroughly excluded.
Coding Notes
- Ensure thorough documentation to differentiate non-cardiac from cardiac pain.
R07.1 - Chest pain on breathing
Use when chest pain is linked to respiratory movements, such as pleuritic pain.
Applicable To
- Pleuritic pain
Excludes
- Pain due to cardiac causes (I20-I25)
Clinical Validation Requirements
- Pain worsens with deep inspiration
- Pleural rub on auscultation
Coding Notes
Document respiratory symptoms clearly to support this code.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Personal history of nicotine dependence
Z87.891Differential Codes
Alternative codes to consider when ruling out similar conditions to the primary diagnosis.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chest Discomfort to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R07.89.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit and non-compliance., Financial: Potential for reduced reimbursement.
Mitigation Strategy
Use structured templates for documentation., Ensure thorough clinical evaluation.
Impact
Reimbursement: May lead to lower reimbursement due to lack of specificity., Compliance: Increases risk of audit due to non-specific coding., Data Quality: Reduces accuracy of clinical data for patient care.
Mitigation Strategy
Use specific codes like R07.89 or I20.9 when detailed documentation is available.
Impact
High risk of audit for using unspecified codes when specific documentation exists.
Mitigation Strategy
Use specific codes and ensure thorough documentation.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Chest Discomfort, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chest Discomfort
Use these documentation templates to ensure complete and accurate documentation for Chest Discomfort. These templates include all required elements for proper coding and billing.
Emergency Department Chest Pain Evaluation
Specialty: Emergency MedicineRequired Elements
- Location of pain
- Character of pain
- Radiation
- Associated symptoms
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Chest Discomfort? Ask your questions below.