A Major Update in Rib Pain Classification: Identifying the New ICD-10-CM Code R07.89
A Major Update in Rib Pain Classification: Identifying the New ICD-10-CM Code R07.89
Rib pain, often presenting as discomfort in the chest or with each breath, is a common but sometimes complex symptom. It’s important for healthcare professionals to classify and document this condition accurately, especially with the recent changes in how rib pain is reported in the ICD-10-CM system with the code R07.89.
What is Rib Pain?
Rib pain can arise from various causes such as injury, muscle strain, or underlying medical conditions like pleurisy (inflammation of the membrane surrounding the lungs). As with many medical conditions, precise documentation of rib pain is essential for accurate diagnosis, treatment, and insurance coverage.
The Big Change: New ICD-10-CM Classification for Rib Pain in 2025
Historically, rib pain was indexed under the ICD-10-CM diagnosis code R07.81, labeled as “Pleurodynia.” While this classification covered certain aspects of rib pain, it primarily referenced pain associated with the muscles or pleura (the lung’s protective membrane).
However, a significant clarification has been made in the Third Quarter 2024 Coding Clinic that impacts how rib pain should be documented. It is now recommended that the diagnosis of rib pain be classified under R07.89, which represents a broader and more accurate range of chest pain not limited to pleurodynia.
What Healthcare Providers Need to Know About R07.89
This clarification means that all healthcare providers should immediately adopt R07.89 for rib pain cases to ensure they are following the latest coding guidelines. Not only does this prevent errors in documentation, but it also helps secure appropriate reimbursement and provides a clear clinical picture of the patient’s condition.
The recent coding change from R07.81 to R07.89 is a significant update in the medical community. For the latest ICD-10 updates, check out our ICD-10 Coding Resource Center or enroll in our ICD-10 Updates courses.
