Chest Pain ICD-10-CM Codes | 2023

What ICD-10 Codes are Used for Chest Pain?

1. R07.1

For chest pain exacerbated by breathing, the appropriate ICD-10 code is R07.1. This code is used to categorize chest pain that worsens with breathing and can be caused by factors such as asthma, pneumonia, heart disease (including heart attack or angina), or minor muscle strains affecting the chest area.

2. R07.2

If the chest pain is primarily localized in the center of the chest, the healthcare provider can assign the code ICD 10 chest pain is R07.2. This code is used for chest pain predominantly located in the middle of the chest and can be associated with heart disease, anxiety, panic attacks, GERD, or muscle strain in the chest region.

3. R07.8

In cases where the chest pain does not fit into any specific category, the appropriate and atypical chest pain ICD 10 code is R07.8. This code is used for diverse origins of chest pain, including muscle strain, rib fractures, cancer, inflammation of the pleura (the protective lining of the lungs), or infections like pneumonia and tuberculosis.

4. R07.81

One of the commonly used Chest Pain ICD Codes is R07.81. It is specifically for pleurodynia, a type of chest pain characterized by widespread pain in the chest wall due to inflammation of the muscles or nerves. However, it is important to note that this code excludes epidemic pleurodynia.

5. R07.82 

If the pain is situated between the ribs, known as intercostal pain, the appropriate ICD 10 for chest pain like this is R07.82. This code encompasses intercostal pain caused by various factors, including muscle strain, rib fractures, or infections like pneumonia and tuberculosis. 

6. R07.89

For chest pain located in the anterior chest wall that does not fall into any other specified categories, the healthcare provider can assign code chest pain ICD 10 is R07.89. This code includes chest pain resulting from conditions such as muscle strain, rib fractures, cancer, inflammation of the pleura, or infections like pneumonia and tuberculosis.

7. R07.9

The assigned ICD 10 code for chest pain that is unspecified is R07.9. This code is used for chest pain that can stem from a wide range of conditions, necessitating a thorough assessment to identify the specific factors contributing to the pain.

Which Chest Pain ICD codes are Billable?

All of the ICD-10 codes mentioned above are billable except for R07.9. The reason for this is that R07.9 is too general and does not provide enough information to accurately diagnose the condition. 

The other codes are more specific and can be used to identify the underlying cause of the chest pain.

Clinical Information

Chest pain, a distressing symptom, requires thorough evaluation and appropriate management. It can arise from various causes, including cardiac conditions, respiratory problems, gastrointestinal issues, musculoskeletal disorders, or psychological factors. Prompt medical attention is crucial.

When experiencing chest pain, factors to consider include location, quality, severity, and duration. Accurate diagnosis is facilitated by ICD-10 codes, aiding in tracking incidence and reimbursement for healthcare providers.

Effective management of chest pain involves timely treatment tailored to the underlying cause. Early intervention and appropriate modalities improve patient outcomes.

Here are the common treatments for chest pain:

• Medications can be used to treat chest pain, depending on the underlying cause. For heart disease-related chest pain, medications like nitroglycerin or beta-blockers are commonly prescribed.
• Procedures may be necessary to address chest pain. For instance, if the chest pain is due to a heart attack, angioplasty can be performed to open up a blocked artery.
• Lifestyle changes can reduce the risk of chest pain and improve symptoms. These changes include quitting smoking, adopting a healthy diet, and engaging in regular exercise.

Synonyms

Here are synonyms for chest pain:

• Chest discomfort
• Chest distress
• Chest ache
• Chest pang
• Chest tightness
• Chest pressure
• Chest heaviness
• Chest burning
• Chest squeezing