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ICD-10 Coding for Sternum Pain(M94.0, G89.11, R07.1)

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Explore ICD-10 codes for sternum pain, including costochondritis (M94.0) and other chest pain (R07.89). Learn documentation requirements and coding tips.

Also known as:
Chest PainCostosternal PainSubsternal Pain
Related ICD-10 Code Ranges

Complete code families applicable to Sternum Pain

M00-M99Primary Range

Diseases of the musculoskeletal system and connective tissue

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Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescription
M94.0Chondrocostal junction syndrome [Tietze]
R07.89Other chest pain
S22.20XAFracture of sternum, initial encounter
Primary ICD-10-CM Codes
Chondrocostal junction syndrome [Tietze]
M94.0Billable
Differential Codes

Alternative codes to consider when ruling out similar conditions

Other chest painR07.89

Use when sternum pain is present but not due to costochondritis.

Chondrocostal junction syndrome [Tietze]M94.0

Documentation & Coding Risks

Avoid these common issues when documenting Sternum Pain.

Lack of specificity in pain documentation.

Impact

Clinical: May lead to misdiagnosis., Regulatory: Increases risk of audit issues., Financial: Potential for reduced reimbursement.

Mitigation

Ensure detailed documentation of pain characteristics., Use specific codes when possible.

Using R07.9 for unspecified chest pain when a specific diagnosis is available.

Impact

Reimbursement: May lead to lower reimbursement rates., Compliance: Increases risk of audit failures., Data Quality: Reduces specificity in clinical data.

Mitigation

Use M94.0 for confirmed costochondritis or R07.89 for localized sternum pain.

Use of unspecified codes

Impact

Using R07.9 when a more specific code is applicable.

Mitigation

Ensure thorough documentation to support specific coding.

Frequently Asked Questions

Related condition guides

Documentation requirements, coding pitfalls and FAQs for conditions coded with M94.0.