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v1.0.0
ICD-10 Guide
ICD-10 CodesR07.2

R07.2

Precordial pain

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R07.2 is a billable code used to indicate a diagnosis of precordial pain.

Key Diagnostic Point:

Precordial pain refers to discomfort or pain located in the anterior chest area, typically associated with the heart and surrounding structures. This symptom can manifest as sharp, dull, or pressure-like sensations and may be accompanied by other symptoms such as shortness of breath, palpitations, or radiating pain to the arms or jaw. The etiology of precordial pain can range from benign musculoskeletal issues to serious cardiac conditions such as angina or myocardial infarction. Other potential causes include gastrointestinal disorders (e.g., gastroesophageal reflux disease), pulmonary conditions (e.g., pulmonary embolism), and anxiety-related disorders. Accurate diagnosis often requires a thorough clinical evaluation, including a detailed patient history, physical examination, and potentially diagnostic tests such as EKG, chest X-ray, or cardiac enzyme levels. Given the broad differential diagnosis, it is crucial for healthcare providers to assess the nature of the pain, associated symptoms, and risk factors to determine the appropriate management and treatment plan.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other chest pain diagnoses
  • Need for comprehensive documentation
  • Potential for misdiagnosis

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to specify the nature of the pain
  • Misclassification of pain type
  • Lack of supporting diagnostic tests

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history of present illness, including onset, duration, and character of pain, as well as associated symptoms and risk factors.

Common Clinical Scenarios

Patients presenting with atypical chest pain, requiring differentiation from cardiac causes.

Billing Considerations

Consideration of comorbidities such as diabetes or hypertension that may complicate the diagnosis.

Emergency Medicine

Documentation Requirements

Immediate assessment of vital signs, EKG findings, and any acute interventions performed.

Common Clinical Scenarios

Patients with acute chest pain presenting to the emergency department, necessitating rapid evaluation.

Billing Considerations

Timely documentation of clinical findings is critical for accurate coding and reimbursement.

Coding Guidelines

Inclusion Criteria

Use R07.2 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when precordial pain is the primary reason for the encounter
  • Document any associated conditions or symptoms that may influence the coding

Exclusion Criteria

Do NOT use R07.2 When
No specific exclusions found.

Related CPT Codes

93000CPT Code

Electrocardiogram, ECG, routine ECG with at least 12 leads

Clinical Scenario

When a patient presents with precordial pain and requires cardiac evaluation.

Documentation Requirements

Document the indication for the ECG and any findings.

Specialty Considerations

In emergency settings, ensure rapid documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of symptoms like precordial pain, improving the granularity of data for healthcare analytics and reimbursement.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms like precordial pain, improving the granularity of data for healthcare analytics and reimbursement.

Reimbursement & Billing Impact

reimbursement.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the difference between precordial pain and chest pain?

Precordial pain specifically refers to pain located in the anterior chest area, while chest pain can encompass a broader range of discomfort that may originate from various structures in the thorax.