Chest pain ICD-10 codes
Start with the primary code, then move to a more specific related code when the documentation supports it.
R07.9 | Chest pain, unspecified | ICD-10-CM |
R07.89 | Other chest pain Includes "atypical" and "non-cardiac" chest pain | ICD-10-CM |
R07.2 | Precordial pain | ICD-10-CM |
R07.1 | Chest pain on breathing | ICD-10-CM |
I20.9 | Angina pectoris, unspecified | ICD-10-CM |
R07.82 | Intercostal pain | ICD-10-CM |
Pick the most specific R07 variant the documentation supports: pleuritic pain is R07.1, precordial location is R07.2, and chest pain characterized as atypical or musculoskeletal is R07.89 rather than R07.9. If the encounter ends with a cardiac diagnosis — for example angina — code the diagnosis (I20.-) instead of the symptom.
“Sharp left-sided chest pain, worse on deep inspiration, after a coughing illness. Reproducible on palpation of the costochondral junction. ECG normal, troponin negative. Assessment: musculoskeletal chest pain. NSAIDs and safety-netting advice.”
Paste a note or record audio. Notat’s FactsContext™ engine extracts the raw clinical facts first, then suggests codes from that context so you can inspect the evidence before using anything.
أمثلة
ملاحظة سريرية
عدّل المثال أو الصق ملاحظتك الخاصة.
نظام الترميز
الأكواد المستخرجة
تظل الأدلة مرفقة للمراجعة.
3
I10ICD-10-CM
Essential (primary) hypertension
الدليل: “Chief Complaint Elevated and fluctuating blood pressure readings.”
E78.5ICD-10-CM
Hyperlipidemia, unspecified
الدليل: “2. Hyperlipidemia. Clinically stable on atorvastatin.”
M19.90ICD-10-CM
Unspecified osteoarthritis, unspecified site
الدليل: “3. Osteoarthritis. Symptoms stable. Continue conservative management with acetaminophen as needed.”
FactsContext extracts clinical facts first: diagnoses, symptoms, negatives, findings, test results, medications, and plan decisions.
The clinician can read and reuse the extracted medical context directly, independent of the generated note.
AI suggestions are not a substitute for clinician judgment, payer rules, local coding policy, or the official code set.
FAQ
R07.9 or R07.89 — what is the difference?
R07.9 is truly unspecified. R07.89 ("other chest pain") fits documented characterizations that do not have their own code — atypical, musculoskeletal, or non-cardiac chest pain.
When do I stop using R07 codes?
When a cause is established during the encounter. Documented angina is I20.-, GERD-related pain is coded to K21.-, and so on — the symptom code gives way to the diagnosis.
Can AI distinguish symptom codes from diagnosis codes?
Yes. Notat extracts the assessment as a clinical fact — if the note concludes with a diagnosis, the diagnosis code is suggested; if the work-up is negative, the appropriate R07 variant is proposed instead.