2026 ICD-10-CM Diagnosis Code R07.0Pain in throat
ICD-10-CM Codes›R00–R99›R00-R09›R07
- Billable — Valid for Submission
- Not Chronic
R07.0 is a billable ICD-10-CM diagnosis code for pain in throat. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 154 through 156. As a symptom code, it should not be used as a principal diagnosis once a related definitive diagnosis has been established. Coders also document this condition as finding of sensation of pharynx. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Respiratory signs and symptoms.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Finding of sensation of pharynx
- Pain in throat
- Tenderness of larynx
- Tenderness of neck
- Tenderness of respiratory structure
- Throat irritation
- Tightness in throat
- Tightness sensation
Tabular List NotesGuidance
Coding notes and annotation back-references applicable to this code.
Type 1 Excludes
Type 2 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
Index to Diseases and InjuriesGuidance
External Cause of Injuries IndexGuidance
References for this code in the External Cause of Injuries Index.
- Pain(s)
- laryngeal
- Pain(s)
- throat
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Patient EducationClinical
Sore Throat
Your throat is a tube that carries food to your esophagus and air to your windpipe and larynx (also called the voice box). The technical name for the throat is pharynx.
Read the full article at MedlinePlus
Courtesy of MedlinePlus, a service of the U.S. National Library of Medicine.
Convert R07.0 to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About R07.0Overview
Is R07.0 (Pain in throat and chest) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report pain in throat on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What MS-DRG does R07.0 group to?
When pain in throat is the principal diagnosis on an inpatient stay, it groups to MS-DRG 154, 155, 156, with relative weights from 0.6911 to 1.5635 depending on complications. Higher weights mean higher Medicare reimbursement.
Can R07.0 be a principal diagnosis?
Use it with care. This is a symptom code, so once a definitive diagnosis explaining the pain in throat is established, that condition takes the principal position instead.
What is the ICD-9 equivalent of R07.0?
Under the General Equivalence Mappings, pain in throat converts to ICD-9-CM 784.1 (throat pain). The mapping is a direct match.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
