ICD-10-CM Codes
R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R00-R09 Symptoms and signs involving the circulatory and respiratory systems
R07- Pain in throat and chest

2018/2019 ICD-10-CM Diagnosis Code R07.0

Pain in throat

2016

2017

2018

2019

Billable/Specific Code

R07.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
The 2018/2019 edition of ICD-10-CM R07.0 became effective on October 1, 2018.
This is the American ICD-10-CM version of R07.0 - other international versions of ICD-10 R07.0 may differ.

Type 1 Excludes

Type 1 Excludes Help

A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R07.0. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.

chronic sore throat (
ICD-10-CM Diagnosis Code J31.2
Chronic pharyngitis
Applicable To
- Chronic sore throat
- Atrophic pharyngitis (chronic)
- Granular pharyngitis (chronic)
- Hypertrophic pharyngitis (chronic)
Type 2 Excludes
- acute pharyngitis (J02.9)
J31.2
)
sore throat (acute) NOS (
ICD-10-CM Diagnosis Code J02.9
Acute pharyngitis, unspecified
Applicable To
- Gangrenous pharyngitis (acute)
- Infective pharyngitis (acute) NOS
- Pharyngitis (acute) NOS
- Sore throat (acute) NOS
- Suppurative pharyngitis (acute)
- Ulcerative pharyngitis (acute)
J02.9
)

Type 2 Excludes

Type 2 Excludes Help

A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (R07.0) and the excluded code together.

dysphagia (
ICD-10-CM Diagnosis Code R13.1
Dysphagia
Code First
- , if applicable, dysphagia following cerebrovascular disease (I69. with final characters -91)
Type 1 Excludes
- psychogenic dysphagia (F45.8)
R13.1-
)
pain in neck (
ICD-10-CM Diagnosis Code M54.2
Cervicalgia
Type 1 Excludes
- cervicalgia due to intervertebral cervical disc disorder (M50.-)
M54.2
)

The following code(s) above R07.0 contain annotation back-references

Annotation Back-References

In this context, annotation back-references refer to codes that contain:

Applicable To annotations, or
Code Also annotations, or
Code First annotations, or
Excludes1 annotations, or
Excludes2 annotations, or
Includes annotations, or
Note annotations, or
Use Additional annotations

that may be applicable to R07.0:

R00-R99
2019 ICD-10-CM Range R00-R99
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Note
- This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
- Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
- The conditions and signs or symptoms included in categories R00-R94 consist of:
- (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
- (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
- (c) provisional diagnosis in a patient who failed to return for further investigation or care;
- (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
- (e) cases in which a more precise diagnosis was not available for any other reason;
- (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Type 2 Excludes
- abnormal findings on antenatal screening of mother (O28.-)
- certain conditions originating in the perinatal period (P04-P96)
- signs and symptoms classified in the body system chapters
- signs and symptoms of breast (N63, N64.5)
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
R07
ICD-10-CM Diagnosis Code R07
Pain in throat and chest
Type 1 Excludes
- epidemic myalgia (B33.0)
Type 2 Excludes
- jaw pain R68.84
- pain in breast (N64.4)
Pain in throat and chest

Approximate Synonyms

Throat pain

Clinical Information

A disorder characterized by of marked discomfort in the throat
Any kind of inflammatory process of the tonsils, pharynx, or/and larynx characterized by pain in swallowing.
Your throat is a tube that carries food to your esophagus and air to your windpipe and larynx. The technical name for throat is pharynx.you can have a sore throat for many reasons. Often, colds and flu cause sore throats. Other causes can include:
- allergies
- mononucleosis
- smoking
- strep throat
- tonsillitis - an infection in the tonsils
treatment depends on the cause. Sucking on lozenges, drinking lots of liquids and gargling may ease the pain. Over-the-counter pain relievers can also help, but children should not take aspirin.

ICD-10-CM R07.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):

154 Other ear, nose, mouth and throat diagnoses with mcc
155 Other ear, nose, mouth and throat diagnoses with cc
156 Other ear, nose, mouth and throat diagnoses without cc/mcc

Convert R07.0 to ICD-9-CM

Code History

2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
2017 (effective 10/1/2016): No change
2018 (effective 10/1/2017): No change
2019 (effective 10/1/2018): No change

Code annotations containing back-references to R07.0:

Type 1 Excludes: R52

ICD-10-CM Diagnosis Code R52
Pain, unspecified
Applicable To
- Acute pain NOS
- Generalized pain NOS
- Pain NOS
Type 1 Excludes
- acute and chronic pain, not elsewhere classified (G89.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- pain disorders exclusively related to psychological factors (F45.41)
Type 2 Excludes: G89

ICD-10-CM Diagnosis Code G89
Pain, not elsewhere classified
Code Also
- related psychological factors associated with pain (F45.42)
Type 1 Excludes
- generalized pain NOS (R52)
- pain disorders exclusively related to psychological factors (F45.41)
- pain NOS (R52)
Type 2 Excludes
- atypical face pain (G50.1)
- headache syndromes (G44.-)
- localized pain, unspecified type - code to pain by site, such as:
- abdomen pain (R10.-)
- back pain (M54.9)
- breast pain (N64.4)
- chest pain (R07.1-R07.9)
- ear pain (H92.0-)
- eye pain (H57.1)
- headache (R51)
- joint pain (M25.5-)
- limb pain (M79.6-)
- lumbar region pain (M54.5)
- painful urination (R30.9)
- pelvic and perineal pain (R10.2)
- shoulder pain (M25.51-)
- spine pain (M54.-)
- throat pain (R07.0)
- tongue pain (K14.6)
- tooth pain (K08.8)
- renal colic (N23)
- migraines (G43.-)
- myalgia (M79.1-)
- pain from prosthetic devices, implants, and grafts (T82.84, T83.84, T84.84, T85.84-)
- phantom limb syndrome with pain (G54.6)
- vulvar vestibulitis (N94.810)
- vulvodynia (N94.81-)

Diagnosis Index entries containing back-references to R07.0:

Pain(s) R52
- see also Painful
ICD-10-CM Diagnosis Code R52
Pain, unspecified
Applicable To
Acute pain NOS
Generalized pain NOS
Pain NOS
Type 1 Excludes
acute and chronic pain, not elsewhere classified (G89.-)
localized pain, unspecified type - code to pain by site, such as:
abdomen pain (R10.-)
back pain (M54.9)
breast pain (N64.4)
chest pain (R07.1-R07.9)
ear pain (H92.0-)
eye pain (H57.1)
headache (R51)
joint pain (M25.5-)
limb pain (M79.6-)
lumbar region pain (M54.5)
pelvic and perineal pain (R10.2)
shoulder pain (M25.51-)
spine pain (M54.-)
throat pain (R07.0)
tongue pain (K14.6)
tooth pain (K08.8)
renal colic (N23)
pain disorders exclusively related to psychological factors (F45.41)
- laryngeal R07.0
- throat R07.0

ICD-10-CM Codes Adjacent To R07.0

R06.5 Mouth breathing

R06.6 Hiccough

R06.7 Sneezing

R06.8 Other abnormalities of breathing

R06.81 Apnea, not elsewhere classified

R06.82 Tachypnea, not elsewhere classified

R06.83 Snoring

R06.89 Other abnormalities of breathing

R06.9 Unspecified abnormalities of breathing

R07 Pain in throat and chest

R07.0 Pain in throat

R07.1 Chest pain on breathing

R07.2 Precordial pain

R07.8 Other chest pain

R07.81 Pleurodynia

R07.82 Intercostal pain

R07.89 Other chest pain

R07.9 Chest pain, unspecified

R09 Other symptoms and signs involving the circulatory and respiratory system

R09.0 Asphyxia and hypoxemia

R09.01 Asphyxia

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

2018/2019 ICD-10-CM Diagnosis Code R07.0

Pain in throat

Chronic pharyngitis

Acute pharyngitis, unspecified

Dysphagia

Cervicalgia

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

Pain in throat and chest

Pain, unspecified

Pain, not elsewhere classified

Pain, unspecified