R07.1
R07.1: Chest pain on breathing
Billable / specific codeICD-10-CM
R07.1 is a billable, specific ICD-10-CM code for chest pain on breathing. It is valid for submission on a claim.
Check R07.1 with the rest of the claim: free scrubberInclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Painful respiration
Excludes1 inherited from the categories above R07.1
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R07.1
Not part of this code, but both may be coded when both are present.
Other codes that can never be billed with R07.1
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
R07.1 is named in 31 Medicare coverage policies: 31 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
- A56625Billing and Coding: Echocardiography
Alphabetic index entries that lead here
- Diaphragmalgia
- Pain›costochondral
- Pain›diaphragm
- Pain›respiration
- Painful›respiration
- Respiration›painful
- Syndrome›chest wall
- Syndrome›Prinzmetal-Massumi
- Pain›chest›on breathing
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.