R07.0
R07.0: Pain in throat
Billable / specific codeICD-10-CM
R07.0 is a billable, specific ICD-10-CM code for pain in throat. It is valid for submission on a claim.
Check R07.0 with the rest of the claim: free scrubberExcludes1: 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.
Excludes1 inherited from the categories above R07.0
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R07.0
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with R07.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- R52Pain, unspecified
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R07.0 is named in 3 Medicare coverage policies: 3 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56729Billing and Coding: Magnetic Resonance Imaging of the Head and Neck
- A57065Billing and Coding: Outpatient Psychiatry and Psychology Services
- A57326Billing and Coding: Electrocardiograms
Alphabetic index entries that lead here
- Pain›laryngeal
- Pain›throat
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.