From the Research
The ICD-10 code for non-cardiac chest pain is R07.89, which is classified under "Other chest pain." This code is used when a patient presents with chest pain that has been determined not to be of cardiac origin after appropriate evaluation. Non-cardiac chest pain may result from various causes including musculoskeletal issues, gastrointestinal disorders like GERD or esophageal spasm, anxiety, or pulmonary conditions. When documenting this diagnosis, it's essential to note any identified underlying cause of the chest pain if possible, as more specific coding may be appropriate depending on the determined etiology. For example, if the chest pain is specifically determined to be due to costochondritis, the more specific code M94.0 would be used instead 1. Proper coding is essential for accurate medical records, appropriate billing, and ensuring continuity of care for patients with non-cardiac chest pain. Some key points to consider when evaluating non-cardiac chest pain include:
- Gastroesophageal reflux disease (GERD) is a common cause of non-cardiac chest pain, and treatment with proton pump inhibitors (PPIs) may be effective 2, 3
- Esophageal motility disorders, such as hypercontractile esophageal motility, can also cause non-cardiac chest pain, and treatment with muscle relaxants or other medications may be necessary 2, 3
- Functional chest pain, which is characterized by recurrent chest pain without an identifiable cause, may require treatment with pain modulators or other therapies 2, 3
- Cognitive behavioral therapy and other psychological interventions may also be effective in managing non-cardiac chest pain, particularly in patients with underlying anxiety or depression 1, 4.