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.
Ejemplos
Nota clínica
Edite el ejemplo o pegue su propia nota.
Sistema de codificación
Códigos extraídos
La evidencia se mantiene adjunta para su revisión.
3
I10ICD-10-CM
Essential (primary) hypertension
Evidencia: “Chief Complaint Elevated and fluctuating blood pressure readings.”
E78.5ICD-10-CM
Hyperlipidemia, unspecified
Evidencia: “2. Hyperlipidemia. Clinically stable on atorvastatin.”
M19.90ICD-10-CM
Unspecified osteoarthritis, unspecified site
Evidencia: “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.