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R07.0

Billable

Pain in throat

This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).

What This Code Means

Pain in the throat refers to discomfort or soreness in the pharyngeal area, which may be caused by infection, irritation, or other conditions.

Coding Tips

  • •Differentiate between throat pain and chest pain; throat pain is typically located in the pharyngeal region
  • •If the pain is due to a specific condition like pharyngitis or strep throat, code the underlying condition as the primary diagnosis

Excludes 1 — Do NOT code together

  • chronic sore throat (J31.2)
  • sore throat (acute) NOS (J02.9)

Excludes 2 — Not included here, may code separately

Code Hierarchy

└R07Pain in throat and chest└R07.0Pain in throat
└R07.0Pain in throat

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