Wiki angina and chest pain

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Code: R07.89

Code Name: ICD-10 Code for Other chest pain

Block: Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

Details: Other chest pain
Anterior chest-wall pain NOS

Excludes1: epidemic myalgia (B33.0)

Excludes2: jaw pain R68.84
pain in breast (N64.4)

Guidelines: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

Note: This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
The conditions and signs or symptoms included in categories R00-R94 consist of:
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
(e) cases in which a more precise diagnosis was not available for any other reason;
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.

Excludes 2: abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

For more details on R07.89, ICD-10 Code for Other chest pain , visit:


True Blue
Birmingham, Alabama
Best answers
Chest pain is a symptom of angina. Angina is caused by decreased blood flow. If the doctor is documenting both of these condition and there is no documentation stating there is any CAD, etc. should angina or chest pain be coded. Since chest pain is a symptom of angina it wouldn't be correct to report a symptom of a specified condition. I feel the physician isn't documenting correctly and is actually using the two terms interchangeably. Sometimes they will even say atypical angina and I have confirmed that the patient really has atypical chest pain. What should I do in this situation?

My understanding is that angina is actually an all inclusive symptom of a heart condition. Angina is or may include chest pain, chest tightness, dyscomfort etc. It also can be felt in the neck and/or shoulders, jaw etc. So, if the doc is using the term interchangably (they almost never do that ;) ) then code angina if heart disease or other heart condition is documented. Code chest pain if no heart disease or condition is noted. You may have to refer to the patient's medical record to find that information.

HTH :)