Chest pain on breathing
ICD-10 R07.1 is a billable code used to indicate a diagnosis of chest pain on breathing.
Chest pain on breathing, classified under ICD-10 code R07.1, refers to discomfort or pain experienced in the chest that is exacerbated by breathing movements. This symptom can arise from various underlying conditions, including respiratory, cardiovascular, and musculoskeletal issues. Patients may describe the pain as sharp, stabbing, or aching, and it may be localized or diffuse. Common causes include pleuritis, pneumonia, pulmonary embolism, rib fractures, or costochondritis. The pain may be accompanied by other symptoms such as shortness of breath, cough, or fever, which can aid in determining the underlying cause. A thorough clinical evaluation, including a detailed history and physical examination, is essential to identify the etiology of the chest pain. Diagnostic imaging, such as chest X-rays or CT scans, and laboratory tests may be warranted to rule out serious conditions. Accurate documentation of the patient's symptoms, duration, and associated factors is crucial for appropriate coding and management.
Detailed history of present illness, including onset, duration, and characteristics of pain, as well as associated symptoms.
Patients presenting with chest pain due to pneumonia or pleuritis.
Ensure that all relevant clinical findings are documented to support the diagnosis and coding.
Acute care documentation must include vital signs, initial assessment findings, and any immediate interventions performed.
Patients presenting with acute chest pain due to pulmonary embolism or pneumothorax.
Rapid assessment and documentation are critical; ensure that all differential diagnoses are considered.
Used when a patient presents with chest pain on breathing requiring moderate complexity evaluation.
Document the history, examination findings, and medical decision-making.
Emergency medicine providers should ensure all relevant findings are documented to support the visit level.
Document the characteristics of the chest pain, associated symptoms, and any relevant clinical findings or diagnostic tests that support the diagnosis.
