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R07.89 ICD-10-CM Code: Other chest pain

ICD-10-CM Code View

HCC Buddy Code Card

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FY 2026 Apr update / Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) / Symptoms and signs involving the circulatory and respiratory systems (R00-R09)

R07.89

Billable / SpecificICD-10-CMOfficial ICD-10-CMCodebook guidance

Other chest pain

This code represents other types of chest pain not specifically classified elsewhere, such as atypical chest discomfort.

CMS-HCC V28

N/A

Not mapped

CMS-HCC V24

N/A

Not mapped

ACA/HHS

N/A

Not mapped

ESRD/PACE

N/A

Not mapped

RXHCC

N/A

Not mapped

Code Book Path

Official
R07Pain in throat and chest
R07.8Other chest pain
R07.89Other chest pain

Inclusion Terms

Official
  • Anterior chest-wall pain NOS

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for R07.89 in this effective period.

Related Child Codes

Official
R07.81Pleurodynia
R07.82Intercostal pain

Includes

Official

ICD-10-CM does not list Includes notes for R07.89 in this effective period.

Excludes 1

Official

ICD-10-CM does not list Excludes 1 notes for R07.89 in this effective period.

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for R07.89 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for R07.89 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for R07.89 in this effective period.

Buddy Documentation Tip

HCC Buddy guidance
Use this code only when the chest pain does not fit into more specific R07 subcategories
Document the characteristics and location of the pain to support medical necessity and guide clinical decision-making

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

Is R07.89 an HCC code?

No. R07.89 is a billable ICD-10-CM code but does not map to any HCC category in V28, V24, ESRD, or RxHCC.

Coder workflow notes

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

What This Code Means

R07.89 is the ICD-10-CM diagnosis code for other chest pain. This code represents other types of chest pain not specifically classified elsewhere, such as atypical chest discomfort. R07.89 sits in the ICD-10-CM chapter for symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (r00-r99), within the section covering symptoms and signs involving the circulatory and respiratory systems (r00-r09).

R07.89 is a billable ICD-10-CM code but does not map to a payment HCC under the CMS-HCC V28, V24, ESRD, or RxHCC risk adjustment models. It can be reported on Medicare Advantage encounter data submissions but it does not contribute to a beneficiary's RAF score and therefore does not affect risk-adjusted payments to the plan.

Use this code only when the chest pain does not fit into more specific R07 subcategories.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for R07.89 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Coding Tips

  • Use this code only when the chest pain does not fit into more specific R07 subcategories
  • Document the characteristics and location of the pain to support medical necessity and guide clinical decision-making

Child Codes

Code Hierarchy

Work R07.89 in HCC Buddy

Open R07.89 in the Code Book for the full Index-to-Tabular path, MEAT checklist, and V28 HCC mapping, or in the Encoder to code from a keyword search. Pro includes 14 days to try everything.