ICD-10 Coding for Chest Tightness(R07.89, R07.9)
Complete ICD-10-CM coding and documentation guide for Chest Tightness. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chest Tightness
R07.1-R07.9Primary Range
Pain in throat and chest
This range includes codes for various types of chest pain, including chest tightness.
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 tightness is non-cardiac and specific causes like musculoskeletal pain are documented. |
|
| R07.9 | Chest pain, unspecified | Use when chest pain is present but not further specified. |
|
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 tightness
Essential facts and insights about Chest Tightness
Primary ICD-10-CM Codes for chest tightness
Decision Criteria
clinical Criteria
- Presence of normal cardiac biomarkers
documentation Criteria
- Detailed description of non-cardiac symptoms
Applicable To
- Chest tightness
- Non-cardiac chest pain
Clinical Validation Requirements
- Normal troponin levels
- Non-ischemic ECG findings
Code-Specific Risks
- Misclassification if cardiac cause is present
Coding Notes
- Ensure documentation specifies non-cardiac origin to avoid misclassification.
R07.9 - Chest pain, unspecified
Use when chest pain is present but not further specified.
Applicable To
- Chest pain NOS
Excludes
- Specific types of chest pain (R07.1-R07.89)
Clinical Validation Requirements
- Lack of specific diagnostic findings
Coding Notes
Avoid using when more specific information is available.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Encounter for observation for other suspected diseases and conditions ruled out
Z03.89Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Chest Tightness 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 result in misdiagnosis, Regulatory: Non-compliance with coding standards, Financial: Potential for reduced reimbursement
Mitigation Strategy
Ensure comprehensive documentation of symptoms and diagnostic findings.
Impact
Reimbursement: May lead to lower reimbursement rates, Compliance: Non-compliance with coding guidelines, Data Quality: Decreased accuracy in clinical data
Mitigation Strategy
Ensure documentation specifies the type of chest pain to use R07.89 or other specific codes.
Impact
High risk of audit if unspecified codes are used without justification.
Mitigation Strategy
Ensure documentation supports the specificity of the code used.
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 Tightness, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chest Tightness
Use these documentation templates to ensure complete and accurate documentation for Chest Tightness. These templates include all required elements for proper coding and billing.
Non-cardiac chest tightness in emergency department
Specialty: Emergency MedicineRequired Elements
- HPI with symptom description
- Physical exam findings
- Diagnostic test results
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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