Is R07.81 a billable ICD-10-CM code?

Yes. R07.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R07.81 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 R07.81?

R07.81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.

R07.81

R07.81 — Pleurodynia

Billable / specific codeICD-10-CM

R07.81 is a billable, specific ICD-10-CM code for pleurodynia. It is valid for submission on a claim.

Excludes1 — never code together

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

epidemic pleurodynia (B33.0)

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Pleurodynia NOS

Risk adjustment

R07.81 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.

Medicare coverage

R07.81 is named in 32 Medicare coverage policies — 32 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing

How R07.81 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R07.81.

Pleuralgia
Pleurodynia
Pain›pleura, pleural, pleuritic
Pain›chest›pleurodynia

Related codes at this level

Codes that share R07.8. If R07.81 is not quite right, the correct code is usually one of these.

Questions about R07.81

Is R07.81 a billable ICD-10-CM code?: Yes. R07.81 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R07.81 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 R07.81?: R07.81 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.