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.
Check R07.81 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.
- epidemic pleurodynia (B33.0)
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Pleurodynia NOS
Excludes1 inherited from the categories above R07.81
A category’s note binds every code beneath it.
Excludes2 inherited from the categories above R07.81
Not part of this code, but both may be coded when both are present.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R07.81 is named in 21 Medicare coverage policies: 21 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
- A56423Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
Alphabetic index entries that lead here
- Pleuralgia
- Pleurodynia
- Pain›pleura, pleural, pleuritic
- Pain›chest›pleurodynia
The condition this code belongs to
Code history
Unchanged in every release from FY2024 to FY2027.