ICD-10 Coding for Chest Wall Pain(R07.89, R07.82)
Complete ICD-10-CM coding and documentation guide for Chest Wall Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Chest Wall Pain
R07.1-R07.9Primary Range
Pain in throat and chest
This range includes codes for various types of chest pain, including chest wall pain.
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 localized to the chest wall and not related to cardiac or pleuritic causes. |
|
| R07.82 | Intercostal pain | Use when pain is localized to intercostal spaces and follows a nerve pattern. |
|
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 wall pain
Essential facts and insights about Chest Wall Pain
Primary ICD-10-CM Codes for chest wall pain
Decision Criteria
clinical Criteria
- Pain is localized and reproducible on palpation.
documentation Criteria
- Documentation must exclude cardiac causes.
Applicable To
- Anterior chest wall pain
- Musculoskeletal chest pain
Excludes
- Cardiac chest pain
- Pleuritic pain
Clinical Validation Requirements
- Reproducible pain on palpation
- Localized tenderness
- Negative cardiac markers
Code-Specific Risks
- Undercoding if not specified as chest wall pain
- Incorrect use if cardiac cause is suspected
Coding Notes
- Ensure documentation specifies the location and reproducibility of pain.
R07.82 - Intercostal pain
Use when pain is localized to intercostal spaces and follows a nerve pattern.
Applicable To
- Intercostal neuralgia
Excludes
- Thoracic radiculopathy
Clinical Validation Requirements
- Pain follows dermatomal pattern
- Positive Tinel's sign
Coding Notes
Document nerve involvement and exclude radiculopathy.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Abnormal EKG
R94.31Differential 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 Wall Pain 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 inappropriate treatment., Regulatory: Increases risk of audit failures., Financial: Potential for claim denials.
Mitigation Strategy
Always perform and document cardiac exclusion tests., Use templates to ensure comprehensive documentation.
Impact
Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audits for unspecified coding., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Use R07.89 or R07.82 when documentation specifies chest wall or intercostal pain.
Impact
Using unspecified codes when documentation supports more specific coding.
Mitigation Strategy
Ensure documentation supports the most specific code possible.
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 Wall Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Chest Wall Pain
Use these documentation templates to ensure complete and accurate documentation for Chest Wall Pain. These templates include all required elements for proper coding and billing.
Emergency Department Visit for Chest Wall Pain
Specialty: Emergency MedicineRequired Elements
- Pain location and description
- Palpation findings
- Cardiac exclusion tests
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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