ICD-10 Coding for Precordial Pain(R07.2)
Complete ICD-10-CM coding and documentation guide for Precordial Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Precordial Pain
R00-R99Primary Range
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R07.2 falls under this range as it is a symptom code for precordial pain.
Key Information: ICD-10 code for precordial pain
Essential facts and insights about Precordial Pain
Primary ICD-10-CM Code for precordial pain
Decision Criteria
clinical Criteria
- Pain localized to precordium with negative cardiac workup.
coding Criteria
- No definitive diagnosis of a more specific condition like angina.
documentation Criteria
- Documentation must include location, duration, and absence of cardiac markers.
Applicable To
- Pain localized to the precordium
Clinical Validation Requirements
- Negative cardiac biomarkers
- Normal EKG and imaging
- Pain localized to precordium without radiation
Code-Specific Risks
- Using R07.2 when a more specific diagnosis is available, such as angina or myocardial infarction.
Coding Notes
- Ensure documentation specifies 'precordial' or 'substernal' to justify R07.2.
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 Precordial Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R07.2.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Increases risk of audit and coding errors., Financial: Potential for claim denials or reduced reimbursement.
Mitigation Strategy
Use specific terms like 'precordial' or 'substernal'., Ensure comprehensive documentation of pain characteristics.
Impact
Reimbursement: May lead to lower reimbursement if a more specific code is applicable., Compliance: Risk of audit if documentation does not support R07.2., Data Quality: Inaccurate data representation if specific conditions are not coded.
Mitigation Strategy
Confirm no specific condition like angina or myocardial infarction is diagnosed.
Impact
Risk of audit if documentation does not specify precordial localization.
Mitigation Strategy
Use structured templates and ensure detailed 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 Precordial Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Precordial Pain
Use these documentation templates to ensure complete and accurate documentation for Precordial Pain. These templates include all required elements for proper coding and billing.
Emergency Department Presentation
Specialty: Emergency MedicineRequired Elements
- Location: Precordial/substernal
- Quality: Sharp/stabbing
- Duration: Seconds/minutes
- Context: At rest/exertion
- Modifying factors: Worse with deep inspiration
- Associated symptoms: Absence of diaphoresis, nausea, radiation
- Workup: Troponin, EKG findings, CXR
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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