ICD-10 Coding for Chest Pain on Exertion(R07.89, I20.9, R07.9)
Complete ICD-10-CM coding and documentation guide for Chest Pain on Exertion. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chest Pain on Exertion
Symptoms and signs involving the circulatory and respiratory systems
Includes codes for various types of chest pain, including unspecified and other specified chest pain.
I20-I25Primary Range
Ischemic heart diseases
Includes codes for angina pectoris and other ischemic heart diseases, relevant for confirmed angina cases.
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 exertional but not confirmed as angina. |
|
| I20.9 | Angina pectoris, unspecified | Use when angina is confirmed by clinical evidence. |
|
| R07.9 | Chest pain, unspecified | Use when chest pain is present but lacks specific descriptors or triggers. |
|
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 pain on exertion
Essential facts and insights about Chest Pain on Exertion
Primary ICD-10-CM Codes for chest pain on exertion
Decision Criteria
clinical Criteria
- Symptoms reproducible with exertion and normal biomarkers
documentation Criteria
- Detailed description of exertion triggers and symptom relief
Applicable To
- Exertional chest pain with specific descriptors
Excludes
- Angina pectoris (I20.-)
Clinical Validation Requirements
- Normal biomarkers
- Reproducible symptoms with exertion
Code-Specific Risks
- Misclassification as angina without proper documentation
Coding Notes
- Ensure documentation specifies exertion-related triggers and symptom relief patterns.
I20.9 - Angina pectoris, unspecified
Use when angina is confirmed by clinical evidence.
Applicable To
- Confirmed angina without further specification
Excludes
- Other forms of chest pain (R07.-)
Clinical Validation Requirements
- Positive stress test
- ST depression on ECG
Coding Notes
Ensure angina is explicitly documented by the provider.
R07.9 - Chest pain, unspecified
Use when chest pain is present but lacks specific descriptors or triggers.
Applicable To
- Chest pain without specific descriptors or triggers
Excludes
- Angina pectoris (I20.-)
Clinical Validation Requirements
- Normal ECG and biomarkers
- No clear exertional pattern
Coding Notes
Use as a last resort when no other specific code applies.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chest Pain on Exertion to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R07.89.
Impact
Clinical: Misrepresentation of the patient's condition, Regulatory: Non-compliance with coding standards, Financial: Potential underpayment due to incorrect DRG
Mitigation Strategy
Ensure detailed documentation of exertion triggers, Verify clinical test results
Impact
Reimbursement: Potential underpayment due to lower DRG assignment, Compliance: Risk of audit failure for incorrect coding, Data Quality: Inaccurate clinical data affecting patient care
Mitigation Strategy
Ensure angina is confirmed by clinical tests and documented explicitly.
Impact
Reimbursement: Potential denial of claims due to insufficient documentation, Compliance: Non-compliance with coding guidelines, Data Quality: Inaccurate representation of patient condition
Mitigation Strategy
Document specific descriptors and exertion triggers clearly.
Impact
Risk of audits due to misclassification of chest pain codes.
Mitigation Strategy
Ensure detailed documentation and correct code selection based on clinical evidence.
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 Pain on Exertion, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chest Pain on Exertion
Use these documentation templates to ensure complete and accurate documentation for Chest Pain on Exertion. These templates include all required elements for proper coding and billing.
Emergency Department Chest Pain Evaluation
Specialty: Emergency MedicineRequired Elements
- Patient demographics
- Detailed symptom description
- Clinical test results
- Provider's diagnosis
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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