Is ICD-10-CM code R07 billable?

No, R07 (Pain in throat and chest) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code R07 belong to?

R07 belongs to Chapter 18 of the ICD-10-CM tabular list: R00–R99 (Symptoms, Signs and Abnormal Clinical and Laboratory Findings).

R07Not billable, use a more specific code below

Pain in throat and chest

In Symptoms and signs involving the circulatory and respiratory systems (R00-R09), chapter 18: Symptoms, Signs and Abnormal Clinical and Laboratory Findings

7 billable codes under R07: none are a CC or MCC; none map to an HCC.

Instructional notes

Excludes1: not coded here, use a different code

epidemic myalgia (B33.0)

Excludes2: not included here, code separately if applicable

jaw pain R68.84
pain in breast (N64.4)

Official coding guidelines

From the ICD-10-CM Official Guidelines for Coding and Reporting, FY 2027 (CMS and NCHS). Links open the PDF at the right page.

Covers when to report symptom, sign, and abnormal finding codes (R00-R99), plus specific rules for falls, coma scales, non-infectious SIRS, death NOS, and NIHSS scores.

Use of symptom codes (page 75)
Use of a symptom code with a definitive diagnosis code (page 75)
Combination codes that include symptoms (page 75)
Repeated falls (page 76)
Coma (page 76)
Functional quadriplegia (page 76)
SIRS due to Non-Infectious Process (page 77)
Death NOS (page 77)

Read Section I.C.18 (page 75), 1 more topics

All codes under R07

R07 can't be used on a claim. Pick a billable code below; grey headings group them.

R07 MS-DRGs

As the principal diagnosis, the billable codes under R07 group to MS-DRG 313, 204, 154, 155, or 156 (v44.0). Which one applies depends on procedures performed, secondary diagnoses (CC/MCC), and the patient's age and discharge status.

DRG 313 Chest Pain (4 of 7 codes)
DRG 204 Respiratory Signs and Symptoms (2 of 7 codes)
DRG 154 Other Ear, Nose, Mouth and Throat Diagnoses with MCC (1 of 7 codes)
DRG 155 Other Ear, Nose, Mouth and Throat Diagnoses with CC (1 of 7 codes)
DRG 156 Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCC (1 of 7 codes)

About the condition

Plain-language background from MedlinePlus (National Library of Medicine), not coding guidance.

Chest Pain

Having a pain in your chest can be scary. It does not always mean that you are having a heart attack. There can be many other causes, including: Some of these problems can be serious. Get immediate medical care if you have chest pain that does not go away, crushing pain or pressure in the chest, or chest pain along with nausea, sweating, dizziness or shortness of breath. Treatment depends on the cause of the pain.

Sore Throat

Your throat is a tube that carries food to your esophagus and air to your windpipe and larynx (also called the voice box). The technical name for the throat is pharynx.

Code history

Valid since FY2016, when ICD-10-CM took effect on October 1, 2015. No changes since.