R07.0 — Pain in throat
Is R07.0 billable?
Yes — R07.0 is billable for FY2027. R07.0 is a valid, billable ICD-10-CM code at the highest level of specificity in its branch. R07.0 may be submitted for encounters from October 1, 2026 through September 30, 2027.
R07.0 at a glance
| Code | R07.0 |
|---|---|
| Description | Pain in throat |
| Billable | Yes |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Which MS-DRGs does R07.0 group to?
R07.0 sits in MDC 03 and helps define the logic of 3 MS-DRGs (version 44, FY2027). Which one a stay actually groups to also depends on procedures and secondary diagnoses.
- 154Other Ear, Nose, Mouth and Throat Diagnoses with MCCmedical
- 155Other Ear, Nose, Mouth and Throat Diagnoses with CCmedical
- 156Other Ear, Nose, Mouth and Throat Diagnoses without CC/MCCmedical
How is R07.0 listed in the Alphabetic Index?
These are the routes through the Alphabetic Index that lead to R07.0. They show the wording a clinician may have documented, which often differs from the Tabular description.
- Pain › laryngeal (s)
- Pain › throat (s)
Excludes1 — never code together
The conditions below can never be reported together with R07.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
Excludes2 — not included here
The conditions below are not part of R07.0, but a patient may have both at the same time. When documentation supports it, R07.0 and the excluded code may both be reported.
Excludes1 — never code together — inherited from R07
The conditions below can never be reported together with R07.0 on the same claim. An Excludes1 note means the two conditions cannot occur in the same patient, so reporting both is a coding error.
- epidemic myalgia (B33.0)
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R07.0, but a patient may have both at the same time. When documentation supports it, R07.0 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R07
The conditions below are not part of R07.0, but a patient may have both at the same time. When documentation supports it, R07.0 and the excluded code may both be reported.
How long has R07.0 existed?
R07.0 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.
Which codes are confused with R07.0?
ICD-10-CM declares these codes mutually exclusive with R07.0 — exactly one of each pair can be correct for a given encounter.