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ICD-10 Guide
ICD-10 CodesR11.10

R11.10

Vomiting, unspecified

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R11.10 is a billable code used to indicate a diagnosis of vomiting, unspecified.

Key Diagnostic Point:

Vomiting, unspecified (ICD-10 code R11.10) refers to the symptom of vomiting without a specified cause or underlying condition. This code is used when a patient presents with vomiting that is not clearly linked to a specific diagnosis or when the cause is still under investigation. Vomiting can be acute or chronic and may be accompanied by other symptoms such as nausea, abdominal pain, or dehydration. Common causes of vomiting include gastrointestinal infections, food poisoning, medication side effects, and metabolic disorders. In clinical practice, it is crucial to assess the patient's history, perform a physical examination, and consider laboratory tests to identify potential underlying causes. The use of R11.10 is appropriate when the vomiting is a primary symptom and no further specification is available, allowing for proper documentation and coding in various healthcare settings.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variability in underlying causes of vomiting
  • Need for thorough patient history and examination
  • Potential for multiple diagnoses related to vomiting
  • Documentation of associated symptoms

Audit Risk Factors

  • Insufficient documentation of the cause of vomiting
  • Failure to link vomiting to a primary diagnosis
  • Inconsistent coding of vomiting in different encounters
  • Lack of specificity in clinical notes

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed patient history, including onset, duration, and associated symptoms of vomiting.

Common Clinical Scenarios

Patients presenting with unexplained vomiting, often requiring further diagnostic workup.

Billing Considerations

Consideration of chronic conditions that may contribute to vomiting, such as GERD or peptic ulcer disease.

Emergency Medicine

Documentation Requirements

Acute care documentation must include vital signs, hydration status, and any immediate interventions.

Common Clinical Scenarios

Patients presenting with acute vomiting, possibly due to trauma, poisoning, or acute gastroenteritis.

Billing Considerations

Rapid assessment and documentation are critical to ensure appropriate treatment and coding.

Coding Guidelines

Inclusion Criteria

Use R11.10 When
  • Follow official ICD
  • 10 coding guidelines, ensuring that R11
  • 10 is used only when no specific cause for vomiting is documented
  • Coders should verify that the symptom is not part of a more comprehensive diagnosis

Exclusion Criteria

Do NOT use R11.10 When
No specific exclusions found.

Related CPT Codes

99213CPT Code

Established patient office visit, Level 3

Clinical Scenario

Used when a patient presents with vomiting for evaluation and management.

Documentation Requirements

Document the history, examination findings, and medical decision-making.

Specialty Considerations

Internal medicine and family practice may frequently use this code for follow-up visits.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specificity in coding symptoms like vomiting. R11.10 serves as a catch-all for unspecified cases, but coders must ensure that they are not overlooking more specific diagnoses.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specificity in coding symptoms like vomiting. R11.10 serves as a catch-all for unspecified cases, but coders must ensure that they are not overlooking more specific diagnoses.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specificity in coding symptoms like vomiting. R11.10 serves as a catch-all for unspecified cases, but coders must ensure that they are not overlooking more specific diagnoses.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

When should I use R11.10?

Use R11.10 when a patient presents with vomiting that does not have a specified cause or when the cause is still under investigation. Ensure that documentation supports the use of this code.