ICD-10 Coding for Non-Cardiac Chest Pain(R07.89, R07.9)
Complete ICD-10-CM coding and documentation guide for Non-Cardiac Chest Pain. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Non-Cardiac Chest Pain
R07.1-R07.9Primary Range
Chest pain codes
This range includes codes for various types of chest pain, including non-cardiac chest pain.
Diseases of esophagus, stomach, and duodenum
Includes codes for gastrointestinal conditions like GERD, which can cause non-cardiac chest pain.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R07.89 | Other chest pain | Use when non-cardiac etiology is confirmed, such as GERD or musculoskeletal pain. |
|
| R07.9 | Chest pain, unspecified | Use as a temporary code pending workup; requires escalation to definitive diagnosis within 2 encounters. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for non-cardiac chest pain
Essential facts and insights about Non-Cardiac Chest Pain
Primary ICD-10-CM Codes for non cardiac chest pain
Decision Criteria
clinical Criteria
- Non-cardiac etiology confirmed by diagnostic tests
documentation Criteria
- Detailed description of pain characteristics and negative cardiac findings
Applicable To
- Anterior chest-wall pain NOS
Excludes
- Cardiac chest pain
Clinical Validation Requirements
- Retrosternal burning worse after meals
- EGD showing esophagitis
- Normal cardiac biomarkers
Code-Specific Risks
- Incorrect use without confirming non-cardiac etiology
Coding Notes
- Ensure non-cardiac etiology is documented before using R07.89.
R07.9 - Chest pain, unspecified
Use as a temporary code pending workup; requires escalation to definitive diagnosis within 2 encounters.
Excludes
- Specific types of chest pain
Clinical Validation Requirements
- Atypical chest pressure
- Pending stress test
Coding Notes
Transition to a more specific code once the etiology is determined.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Non-Cardiac Chest Pain to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R07.89.
Impact
Clinical: May lead to misdiagnosis or inappropriate treatment., Regulatory: Non-compliance with documentation standards., Financial: Potential for denied claims or reduced reimbursement.
Mitigation Strategy
Use specific descriptors for pain, Include relevant diagnostic test results
Impact
Reimbursement: May affect DRG assignments and reimbursement rates., Compliance: Non-compliance with coding guidelines., Data Quality: Reduces accuracy of clinical data.
Mitigation Strategy
Ensure thorough documentation and use specific codes like R07.89 when etiology is confirmed.
Impact
Frequent use of R07.9 without follow-up to determine specific etiology.
Mitigation Strategy
Implement follow-up protocols to ensure specific diagnosis is reached.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Non-Cardiac Chest Pain, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Non-Cardiac Chest Pain
Use these documentation templates to ensure complete and accurate documentation for Non-Cardiac Chest Pain. These templates include all required elements for proper coding and billing.
Patient with non-cardiac chest pain due to GERD
Specialty: GastroenterologyRequired Elements
- Chief complaint
- History of present illness
- Review of systems
- Physical exam findings
- Diagnostic test results
- Assessment and plan
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
Need help with ICD-10 coding for Non-Cardiac Chest Pain? Ask your questions below.