In this article before getting into chest pain ICD 10 general guidelines and Code descriptions with examples, let us see causes and some of the important terminologies related to chest pain.
It is an alarming symptom, in most cases it requires to see an ER. Chest pain need not be of cardiac origin every time. There are many other underlying causes which can manifest in the form of a chest pain.
Cardiac related causes of chest pain | Non-cardiac related causes of chest pain |
---|---|
o Acute Myocardial infarction | o Heartburn, acid reflux or GERD |
o Angina | o Pleurisy |
o Aortic dissection | o Panic attack |
o Coronary spasm | o Costochondritis |
o Pericarditis | o Hiatal hernia |
o Mitral valve prolapse | o Esophageal spasm, esophagitis or esophageal rupture |
o Myocarditis | o Pulled muscles and chest wall injuries |
o Hypertrophic cardiomyopathy | o Collapsed lung |
o Pneumonia | |
o Lung cancer | |
o Pulmonary hypertension | |
o Pulmonary embolism |
ICD-10-CM Code Category/ subcategory | ICD-10-CM Code | Description |
---|---|---|
R07 | Pain in throat and chest | |
R07.0 | Pain in throat/ larynx | |
R07.1 | • Chest pain on breathing • Painful respiration • Costochondral pain • Pain in diaphragm • Chest wall syndrome • Prinzmetal-Massumi Syndrome | |
R07.2 | • Precordial pain • Retrosternal pain • Substernal | |
R07.8 | Other chest pain | |
R07.81 | • Pleurodynia • Pleuritic pain • Pleuralgia • Pain in rib | |
R07.82 | Intercostal pain | |
R07.89 | • Other chest pain • Anterior chest wall pain • Atypical chest pain • Musculoskeletal • Non-cardiac chest pain • Chest pressure • Chest tightness • Anterior chest wall syndrome | |
R07.9 | • Chest pain, unspecified • Central chest pain |
Chest Pain ICD 10 Example 1:A 21-year-old male patient came to the clinic with a chief complaint of acute intercostal chest pain secondary to being kicked in the chest. Code the appropriate ICD-10-CM code(s). Ans– R07.82 (intercostal chest pain), G89.11 (acute pain due to trauma) |
Chest Pain ICD 10 Example 2: A 60-year-old male patient by name Chris is admitted to the Emergency department with the chief complaint of chest pain. An EKG and laboratory tests were completed which did not reveal any underlying cardiac disease and an MI was ruled out. Chris has a history of gastroesophageal reflux disease. Since the findings were inconclusive the diagnosis documented was atypical chest pain due to angina or GERD. Ans– R07.89 (Atypical chest pain), I20.9 (Angina), K21.9 (GERD) Note: When the diagnosis is inconclusive, the symptom is sequenced first followed by the differential diagnoses. |
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