ICD-10 Code for Chest Pain
The ICD-10-CM code for chest pain is R07.9 — Chest pain, unspecified. It is billable for FY2027.
Chest pain ICD-10 codes at a glance
| Condition | Chest pain |
|---|---|
| Code | R07.9 — Chest pain, unspecified |
| Billable | Yes (R07.9) |
| Alphabetic Index entry | Pain, chest |
| Code set | ICD-10-CM FY2027, valid October 1, 2026 – September 30, 2027 |
What changes the chest pain code?
The Alphabetic Index lists these qualifiers under Pain, chest. If the record documents one of them, the code changes. Verify the code in the Tabular List before reporting it.
| anterior wall | R07.89 | Other chest pain |
| atypical | R07.89 | Other chest pain |
| ischemic | I20.9 | Angina pectoris, unspecified |
| musculoskeletal | R07.89 | Other chest pain |
| non-cardiac | R07.89 | Other chest pain |
| on breathing | R07.1 | Chest pain on breathing |
| pleurodynia | R07.81 | Pleurodynia |
| precordial | R07.2 | Precordial pain |
| wall | R07.89 | Other chest pain |
Can you code chest pain when the cause is known?
Chest pain is a symptom rather than a diagnosis. The official guidelines allow a symptom code while a related definitive diagnosis has not been established, and a symptom routinely associated with a confirmed disease is not coded separately:
“Codes that describe symptoms and signs, as opposed to diagnoses, are acceptable for reporting purposes when a related definitive diagnosis has not been established (confirmed) by the provider.”
“Signs and symptoms that are associated routinely with a disease process should not be assigned as additional codes, unless otherwise instructed by the classification.”
What else changes the chest pain code?
When the record documents the pain as acute or chronic, a code from category G89 (for example G89.29, other chronic pain) can be added to the site code for more detail. Without that documentation — or a postprocedural, post-thoracotomy or neoplasm-related cause — G89 is not used.
“Codes in category G89, Pain, not elsewhere classified, may be used in conjunction with codes from other categories and chapters to provide more detail about acute or chronic pain and neoplasm-related pain, unless otherwise indicated below.”
“If the pain is not specified as acute or chronic, post-thoracotomy, postprocedural, or neoplasm-related, do not assign codes from category G89.”
What does the Tabular List say about R07.9?
The instructional notes that govern R07.9, including those it inherits from its category and chapter. An Excludes1 note means the two codes are never reported together.
Excludes1 — never code together — inherited from R07
The conditions below can never be reported together with R07.9 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 R07.9, but a patient may have both at the same time. When documentation supports it, R07.9 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R07
The conditions below are not part of R07.9, but a patient may have both at the same time. When documentation supports it, R07.9 and the excluded code may both be reported.
Codes, descriptions and Index entries are from the official ICD-10-CM FY2027 release. Guideline text is quoted from the ICD-10-CM Official Guidelines for Coding and Reporting FY 2027. A code must always be verified in the Tabular List before it is reported. Data sources