ICD-10 codes for chest pain
Chest pain is a symptom code family (R07.-) used when no cause is established at the end of the encounter. Once a diagnosis such as angina is made, the diagnosis replaces the symptom code.
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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.
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How to use this tool
1
Paste or dictate a de-identified clinical note — a few sentences is enough.
2
Press Get codes. The coding system is fixed on this page.
3
Review each suggested code and its evidence, then copy the codes you agree with.
Clinical note
Extracted codes
Evidence stays attached for review.
Paste a clinical note or load an example, then press Get codes. Suggestions appear here with the supporting evidence.
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Chest pain ICD-10 codes
Start with the primary code, then move to a more specific related code when the documentation supports it.
| Code | Description | System |
|---|---|---|
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 |
How to choose the right code
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.
Documentation example
“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.”
Suggested:
Not direct transcript guessing
FactsContext extracts clinical facts first: diagnoses, symptoms, negatives, findings, test results, medications, and plan decisions.
Raw facts stay usable
The clinician can read and reuse the extracted medical context directly, independent of the generated note.
Built for review
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.
Related ICD-10 guides
Keep moving through the condition hub, or open the general medical coding guide for more coding systems and extractors.