Vomiting
ICD-10 R11.1 is a billable code used to indicate a diagnosis of vomiting.
Vomiting, classified under ICD-10 code R11.1, refers to the involuntary expulsion of the contents of the stomach through the mouth. This symptom can arise from a variety of underlying conditions, including gastrointestinal disorders, infections, metabolic imbalances, and central nervous system issues. Vomiting can be acute or chronic and may present with additional symptoms such as nausea, abdominal pain, or dehydration. Clinical evaluation often involves a thorough history and physical examination, focusing on the onset, duration, and characteristics of the vomiting, as well as associated symptoms. Laboratory tests may include electrolyte panels, liver function tests, and imaging studies to identify potential causes. Understanding the context of vomiting is crucial, as it can indicate serious conditions such as appendicitis, pancreatitis, or intracranial pressure changes. Accurate documentation of the frequency, severity, and any precipitating factors is essential for proper coding and management.
Detailed history of present illness, including onset, duration, and associated symptoms. Documentation of any diagnostic tests performed.
Patients presenting with unexplained vomiting, often requiring workup for gastrointestinal or metabolic disorders.
Consideration of chronic conditions that may contribute to recurrent vomiting, such as GERD or diabetes.
Acute care documentation including vital signs, initial assessment, and any immediate interventions performed.
Patients presenting with acute vomiting due to infections, trauma, or drug overdoses.
Rapid assessment of dehydration and potential need for IV fluids or further imaging.
Used for patients presenting with acute vomiting requiring immediate evaluation.
Document the severity of symptoms, vital signs, and any treatments administered.
Emergency medicine providers should ensure rapid assessment and intervention documentation.
Document the frequency, duration, and characteristics of the vomiting, any associated symptoms, and the clinical context to support the diagnosis.
