ICD-10 Coding for Intercostal Pain(R07.82)
Complete ICD-10-CM coding and documentation guide for Intercostal Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Intercostal Pain
R07.0-R07.9Primary Range
Pain in throat and chest
This range includes codes for various types of chest pain, including intercostal pain.
Key Information: ICD-10 code for intercostal pain
Essential facts and insights about Intercostal Pain
Primary ICD-10-CM Code for intercostal pain
Decision Criteria
clinical Criteria
- Pain localized to intercostal spaces and reproducible on palpation.
documentation Criteria
- Provider notes must explicitly state 'intercostal' or 'pain between ribs'.
Applicable To
- Pain between ribs
- Intercostal myalgia
Clinical Validation Requirements
- Pain localized to intercostal spaces
- Reproducible pain on palpation
- Exclusion of cardiac and pulmonary causes
Code-Specific Risks
- Misclassification as general chest pain
- Incorrect sequencing with underlying conditions
Coding Notes
- Ensure documentation specifies 'intercostal' to justify R07.82.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Differential 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 Intercostal Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R07.82.
Impact
Clinical: Misrepresentation of patient's condition., Regulatory: Non-compliance with coding standards., Financial: Potential claim denials.
Mitigation Strategy
Train providers on documentation specificity., Use templates that prompt for detailed descriptions.
Impact
Reimbursement: Incorrect coding may lead to denied claims., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.
Mitigation Strategy
Ensure documentation specifies intercostal localization.
Impact
Lack of specific intercostal documentation can lead to audit issues.
Mitigation Strategy
Implement regular documentation audits and training.
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 Intercostal Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Intercostal Pain
Use these documentation templates to ensure complete and accurate documentation for Intercostal Pain. These templates include all required elements for proper coding and billing.
Primary Care Evaluation
Specialty: Family MedicineRequired Elements
- Location of pain
- Quality and severity
- Aggravating and relieving factors
- Physical exam findings
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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