2019/2020

  1. ICD-10-CM Codes
    2. ›
  2. R00-R99 Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    3. ›
  3. R00-R09 Symptoms and signs involving the circulatory and respiratory systems
    4. ›
  4. R07- Pain in throat and chest
    5. ›

2020 ICD-10-CM Diagnosis Code R07.0

Pain in throat

    2016 2017 2018 2019 2020 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 2020 edition of ICD-10-CM R07.0 became effective on October 1, 2019.
  • 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

      2016 2017 2018 2019 2020 Billable/Specific Code
    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

      2016 2017 2018 2019 2020 Billable/Specific Code
    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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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

      2016 2017 2018 2019 2020 Billable/Specific Code
    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
    2020 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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    Type 1 Excludes
    Type 2 Excludes
    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 v37.0):
  • 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
  • 2020 (effective 10/1/2019): No change
Code annotations containing back-references to R07.0:
  • Type 1 Excludes: R52
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    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

      2016 2017 2018 2019 2020 Non-Billable/Non-Specific Code
    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

Diagnosis Index entries containing back-references to R07.0:
  • Pain(s) R52
    - see also Painful
    ICD-10-CM Diagnosis Code R52

    Pain, unspecified

      2016 2017 2018 2019 2020 Billable/Specific Code
    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.

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