R07.1 — Chest pain on breathing
R07.1 is a billable, specific ICD-10-CM code for chest pain on breathing. It is valid for submission on a claim.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Painful respiration
Other codes that can never be billed with R07.1
These codes carry an Excludes1 note pointing at R07.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R07.1 alone.
- R52Pain, unspecified
Risk adjustment
R07.1 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Medicare coverage
R07.1 is named in 34 Medicare coverage policies — 34 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
- A56034Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
- A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
- A56607Billing and Coding: Continuous Peripheral Nerve Blocks (CPNB)
- A56625Billing and Coding: Echocardiography
How R07.1 is indexed
Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R07.1.
- Diaphragmalgia
- Pain›costochondral
- Pain›diaphragm
- Pain›respiration
- Painful›respiration
- Respiration›painful
- Syndrome›chest wall
- Syndrome›Prinzmetal-Massumi
- Pain›chest›on breathing
Related codes at this level
Codes that share R07. If R07.1 is not quite right, the correct code is usually one of these.
Questions about R07.1
- Is R07.1 a billable ICD-10-CM code?
- Yes. R07.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does R07.1 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the circulatory and respiratory systems (R00-R09).