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v1.0.0
ICD-10 Guide
ICD-10 CodesR07.89

R07.89

Other chest pain

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

Code Description

ICD-10 R07.89 is a billable code used to indicate a diagnosis of other chest pain.

Key Diagnostic Point:

R07.89 is used to classify chest pain that does not fit into more specific categories. Chest pain can arise from various causes, including musculoskeletal issues, gastrointestinal disorders, or psychological factors. Symptoms may include sharp, dull, or burning sensations in the chest, which can be intermittent or constant. Patients may describe associated symptoms such as shortness of breath, palpitations, or anxiety. The clinical context is crucial, as chest pain can be a symptom of serious conditions like myocardial infarction or pulmonary embolism, necessitating a thorough evaluation. Abnormal clinical findings may include abnormal vital signs, abnormal ECG readings, or findings from imaging studies. Laboratory tests may reveal elevated cardiac enzymes or other markers indicative of underlying pathology. Accurate coding requires careful assessment of the patient's history, physical examination findings, and any diagnostic tests performed.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of potential underlying causes
  • Overlap with other chest pain codes
  • Need for thorough documentation of symptoms
  • Potential for serious conditions requiring immediate attention

Audit Risk Factors

  • Inadequate documentation of symptoms
  • Failure to rule out serious conditions
  • Misuse of R07.89 when a more specific code is applicable
  • Lack of clarity in the clinical rationale for the diagnosis

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

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

Common Clinical Scenarios

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

Billing Considerations

Consideration of comorbidities and risk factors for cardiovascular disease.

Emergency Medicine

Documentation Requirements

Acute care documentation must include vital signs, ECG findings, and any immediate interventions performed.

Common Clinical Scenarios

Patients with acute chest pain presenting to the emergency department, requiring rapid assessment and intervention.

Billing Considerations

Timeliness of documentation is critical due to the potential for life-threatening conditions.

Coding Guidelines

Inclusion Criteria

Use R07.89 When
  • Coders should follow the official ICD
  • CM guidelines, ensuring that the code is supported by the clinical documentation
  • The code should only be used when no other more specific code applies

Exclusion Criteria

Do NOT use R07.89 When
No specific exclusions found.

Related CPT Codes

93000CPT Code

Electrocardiogram, ECG, routine ECG with at least 12 leads; with interpretation and report

Clinical Scenario

Used when evaluating a patient with chest pain to rule out cardiac causes.

Documentation Requirements

Documentation must include the reason for the ECG and the findings.

Specialty Considerations

Emergency medicine providers should ensure timely documentation due to the acute nature of presentations.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of chest pain, but it has also increased the complexity of documentation requirements. Coders must ensure that they are accurately capturing the clinical picture to avoid denials and audits.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of chest pain, but it has also increased the complexity of documentation requirements. Coders must ensure that they are accurately capturing the clinical picture to avoid denials and audits.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of chest pain, but it has also increased the complexity of documentation requirements. Coders must ensure that they are accurately capturing the clinical picture to avoid denials and audits.

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

When should I use R07.89 instead of a more specific code?

R07.89 should be used when the chest pain does not fit into any other specific category and when the documentation supports a diagnosis of 'other chest pain.' Always consider if a more specific code applies before using R07.89.