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ICD-10 Guide
ICD-10 CodesR11.11

R11.11

Vomiting without nausea

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

Code Description

ICD-10 R11.11 is a billable code used to indicate a diagnosis of vomiting without nausea.

Key Diagnostic Point:

R11.11 refers to the clinical presentation of vomiting that occurs without the accompanying symptom of nausea. This condition can arise from various etiologies, including gastrointestinal disorders, metabolic disturbances, central nervous system issues, or as a side effect of medications. Patients may present with episodes of vomiting that can be acute or chronic, and the absence of nausea can complicate the clinical picture, making it essential for healthcare providers to conduct a thorough evaluation. Common causes include infections (such as gastroenteritis), food intolerances, and certain medications. In some cases, vomiting without nausea may indicate a more serious underlying condition, such as increased intracranial pressure or metabolic imbalances. Accurate diagnosis often requires a comprehensive clinical history, physical examination, and potentially laboratory tests or imaging studies to identify the underlying cause. Understanding the context of the vomiting episodes, including frequency, duration, and any associated symptoms, is crucial for effective management and coding.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Differentiating between vomiting with and without nausea can be challenging.
  • Requires understanding of various underlying conditions that may present with this symptom.
  • Documentation must clearly specify the absence of nausea to avoid coding errors.
  • Potential overlap with other vomiting-related codes may lead to confusion.

Audit Risk Factors

  • Inadequate documentation of the absence of nausea.
  • Misclassification of vomiting types leading to incorrect coding.
  • Failure to document the underlying cause of vomiting.
  • Inconsistent coding practices across different healthcare providers.

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

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

Common Clinical Scenarios

Patients presenting with unexplained vomiting during routine check-ups or follow-ups.

Billing Considerations

Consideration of chronic conditions that may contribute to vomiting without nausea, such as metabolic disorders.

Emergency Medicine

Documentation Requirements

Acute care documentation must include vital signs, physical examination findings, and any immediate interventions.

Common Clinical Scenarios

Patients presenting to the emergency department with acute vomiting episodes.

Billing Considerations

Rapid assessment of potential serious underlying causes, such as head trauma or severe infections.

Coding Guidelines

Inclusion Criteria

Use R11.11 When
  • Coders should refer to the official ICD
  • CM coding guidelines, ensuring that the documentation supports the diagnosis of vomiting without nausea
  • It is essential to capture the clinical context and any relevant history that may influence the coding decision

Exclusion Criteria

Do NOT use R11.11 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 without nausea for evaluation.

Documentation Requirements

Documentation must support the medical necessity of the visit, including history and examination findings.

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 specific coding of symptoms such as vomiting without nausea, improving the granularity of data for clinical analysis and reimbursement. This specificity aids in better understanding patient populations and outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of symptoms such as vomiting without nausea, improving the granularity of data for clinical analysis and reimbursement. This specificity aids in better understanding patient populations and outcomes.

Reimbursement & Billing Impact

reimbursement. This specificity aids in better understanding patient populations and outcomes.

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

What should be documented to support the use of R11.11?

Documentation should clearly state the patient's vomiting episodes, specify that there is no accompanying nausea, and include any relevant clinical findings or underlying conditions.