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ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R07.9

Billable / Specific

Chest pain, unspecified

R07
Block
0
Synonyms
814
LCDs
42
Payer Policies
17
Linked CPTs

About ICD-10-CM R07.9

ICD-10-CM code R07.9 represents Chest pain, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R07). The 2026 edition of ICD-10-CM R07.9 became effective on October 1, 2025.

Medicare LCD Coverage for R07.9

Local Coverage Determinations (LCDs) from CMS MACs that list R07.9 as a covered diagnosis.

814 LCDs

Showing top 10 of 814 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93270 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93298 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93225 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93271 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93246 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93272 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93242 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 93228 →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0938T →
CMS LCD: Billing and Coding: Ambulatory Electrocardiograph (AECG) Monitoring
Article ID: 59270, Effective: 2025-01-01 00:00:00, 153 covered, 0 non-covered
CPT 0937T →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R07.9.

42 policies

4 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE
Duplex Scan of Extracranial Arteries - (0542)
Policy ID: MM_0542
Transthoracic Echocardiography in Adults - (0510)
Policy ID: MM_0510
Transthoracic Echocardiography in Children - (0523)
Policy ID: MM_0523

5 Medicare

Billing and Coding: Cardiac Catheterization and Coronary Angiography
Policy ID: ART-52850
Billing and Coding: Nerve Blockade for Treatment of Chronic Pain and Neuropathy
Policy ID: ART-56034
Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: Cardiology Non-emergent Outpatient Stress Testing
Policy ID: ART-56423
Billing and Coding: Cardiac Computed Tomography (CCT) and Coronary Computed Tomography Angiography (CCTA)
Policy ID: ART-56451

CPT Codes Commonly Billed with R07.9

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

17 linkages
  • 93015 Stress test — chest pain, palpitations, syncope, known CAD Cardiovascular Disease
  • 93458 Left heart catheterization — CAD, ACS, chest pain Cardiovascular Disease
  • 99285 High-level ER E/M — MI, cardiac arrest, respiratory failure, chest pain, syncope, head injury Emergency Medicine
  • 99202 New patient office visit — fever, headache, abdominal pain, cough, dyspnea, fatigue, dizziness, limb pain, nausea, routine exam, URI, UTI, pharyngitis, otitis, chest pain, weight loss Primary Care
  • 99203 New patient office visit — common complaints plus chronic conditions: HTN, diabetes, hyperlipidemia, asthma, GERD, back pain, migraine, tachycardia, prediabetes Primary Care
  • 93000 EKG 12-lead — tachycardia, bradycardia, palpitations, HTN, CAD, AFib, arrhythmia, chest pain, syncope, cardiomyopathy, AV block, bundle branch block, SVT, VT, diabetes screening, abnormal EKG Cardiology
  • 93306 Echo with Doppler — heart failure, cardiomyopathy, mitral/aortic/tricuspid valve disease, chest pain, dyspnea, CAD, pulmonary HTN, ASD, VSD, congenital valve Cardiology
  • 93010 EKG interpretation only — same dx as 93000 Cardiology
  • 93015 Stress test cardiovascular — chest pain, CAD, angina, tachycardia, dyspnea, HTN, diabetes, syncope, cardiac screening Cardiology
  • 93451 Right heart cath — CAD, native vessel disease, ischemic cardiomyopathy, unstable angina, MI, heart failure, valvular disease, chest pain Cardiology

Convert R07.9 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R07.9 78650 00000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R07.9, Billing FAQ

Is ICD-10 code R07.9 billable? +

Yes, R07.9 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What CPT codes are commonly billed with R07.9? +

Procedures frequently paired with R07.9 include: 93015, 93458, 99285, 99202, 99203.

What ICD-9 codes does R07.9 map to? +

Per CMS GEMs, R07.9 maps to ICD-9 codes: 78650. 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 July 16, 2026.

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