Nausea
ICD-10 R11.0 is a billable code used to indicate a diagnosis of nausea.
Nausea is a common symptom characterized by an unpleasant sensation in the stomach that often precedes vomiting. It can be caused by a variety of factors, including gastrointestinal disorders, infections, medications, and metabolic disturbances. Clinically, nausea may present with accompanying symptoms such as vomiting, abdominal pain, and changes in appetite. It is essential to evaluate the underlying cause of nausea, as it can be a sign of more serious conditions such as gastrointestinal obstruction, pancreatitis, or central nervous system disorders. Diagnostic approaches may include a thorough patient history, physical examination, and potentially imaging studies or laboratory tests to identify the underlying etiology. Management of nausea typically involves addressing the underlying cause, and symptomatic treatment may include antiemetic medications. Accurate documentation of the patient's symptoms, duration, and any associated factors is crucial for proper coding and treatment planning.
Detailed patient history, including onset, duration, and associated symptoms; results of any diagnostic tests.
Patients presenting with nausea due to gastrointestinal disorders, medication side effects, or metabolic issues.
Consideration of chronic conditions that may contribute to nausea, such as diabetes or renal failure.
Acute presentation details, including vital signs, immediate interventions, and any imaging or lab results.
Patients presenting with acute nausea due to infections, drug overdoses, or acute abdomen.
Rapid assessment and documentation of potential life-threatening causes of nausea.
Used when evaluating a patient with nausea in an outpatient setting.
Document the patient's history, examination findings, and any treatment provided.
Internal medicine may require more detailed documentation of chronic conditions contributing to nausea.
Yes, R11.0 can be used for chronic nausea, but it is essential to document the underlying cause and any associated conditions to support the diagnosis.
