ICD-10 R07.0
Billable / SpecificPain in throat
About ICD-10-CM R07.0
ICD-10-CM code R07.0 represents Pain in throat. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R07). The 2026 edition of ICD-10-CM R07.0 became effective on October 1, 2025.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R07.0. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- chronic sore throat (J31.2)
- sore throat (acute) NOS (J02.9)
Type 2 Excludes
Not included here, the excluded code is not part of R07.0, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.
- dysphagia (R13.1-)
- pain in neck (M54.2)
Medicare LCD Coverage for R07.0
Local Coverage Determinations (LCDs) from CMS MACs that list R07.0 as a covered diagnosis.
Showing top 10 of 47 total . Click a CPT for full coverage scope.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R07.0.
3 Medicare
1 Aetna
CPT Codes Commonly Billed with R07.0
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Convert R07.0 to ICD-9-CM
Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.
| ICD-10 | ICD-9 | Mapping Flags |
|---|---|---|
| R07.0 | 7841 | 00000 |
Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).
Codes Adjacent To R07.0
Other codes in section R00-R09 (Symptoms and signs involving the circulatory and respiratory systems).
ICD-10 R07.0, Billing FAQ
Is ICD-10 code R07.0 billable? +
Yes, R07.0 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.
What codes are Type 1 Excludes for R07.0? +
Type 1 Excludes (never code together with R07.0): chronic sore throat (J31.2); sore throat (acute) NOS (J02.9)
What codes are Type 2 Excludes for R07.0? +
Type 2 Excludes (may be coded together when both conditions exist): dysphagia (R13.1-); pain in neck (M54.2)
What ICD-9 codes does R07.0 map to? +
Per CMS GEMs, R07.0 maps to ICD-9 codes: 7841. Useful for legacy data review and historical claim analysis.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on May 31, 2026.
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