MCMCB Pro
R07

R07Pain in throat and chest

Non-billable headerICD-10-CM

R07 is a non-billable header ICD-10-CM code for pain in throat and chest. It cannot be billed on its own: choose one of the more specific child codes below.

Excludes1 — never code together

These conditions cannot occur together. Billing both on the same encounter is a denial.

Excludes2 — not included here, but may coexist

The excluded condition is not part of this code, but a patient can have both. You may code both.

Other codes that can never be billed with R07

These codes carry an Excludes1 note pointing at R07. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R07 alone.

  • R52Pain, unspecified

Risk adjustment

R07 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R07

5 child codes. Green means billable.

Questions about R07

Is R07 a billable ICD-10-CM code?
No. R07 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R07 sit in the tabular list?
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the circulatory and respiratory systems (R00-R09).
What cannot be coded together with R07?
R07 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.
ICD-10-CMFY2026-Apr· effective April 1, 2026

Loaded directly from the CMS/NCHS ICD-10-CM public-domain release — see data sources and our editorial policy. If this page disagrees with the CMS tabular list, this page is wrong. Reference information for professional coders; not medical or billing advice.