Version 2024

2024 ICD-10-CM Diagnosis Code G43.A

Cyclical vomiting

ICD-10-CM Code:: G43.A
ICD-10 Code for:: Cyclical vomiting
Is Billable?: Not Valid for Submission
Code Navigator:

Code Information
Specific Coding
Clinical Information
Tabular List of Diseases and Injuries
Patient Education
Other Codes Used Similar Conditions
Code History

Code Classification

Diseases of the nervous system
(G00–G99)
- Episodic and paroxysmal disorders
  (G40-G47)
  - Migraine
    (G43)

G43.A is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of cyclical vomiting. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Cyclical vomiting

Non-specific codes like G43.A require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for cyclical vomiting:

Use G43.A0 for Cyclical vomiting, in migraine, not intractable - BILLABLE CODE
Use G43.A1 for Cyclical vomiting, in migraine, intractable - BILLABLE CODE

Clinical Information

Cyclical Vomiting
a condition characterized by recurrent, self-limiting episodes of vomiting associated with intense nausea, pallor, and lethargy. it is commonly a migraine precursor.

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.

Type 1 Excludes

cyclical vomiting syndrome unrelated to migraine R11.15

Patient Education

Nausea and Vomiting

What are nausea and vomiting?

Nausea is when you feel sick to your stomach, as if you are going to throw up. Vomiting is when you throw up.

What causes nausea and vomiting?

Nausea and vomiting can be symptoms of many different conditions, including:

Morning sickness during pregnancy
Gastroenteritis (infection of your intestines) and other infections
Migraines
Motion sickness
Food poisoning
Medicines, including those for cancer chemotherapy
GERD (reflux) and ulcers
Intestinal obstruction

When do I need to see a health care provider for nausea and vomiting?

Nausea and vomiting are common. They are usually not serious. However, you should contact your health care provider immediately if you have:

A reason to think that your vomiting is from poisoning
Vomited for longer than 24 hours
Blood in the vomit
Severe abdominal pain
Severe headache and stiff neck
Signs of dehydration, such as dry mouth, infrequent urination or dark urine

How is the cause of nausea and vomiting diagnosed?

Your health care provider will take your medical history, ask about your symptoms and do a physical exam. The provider will look for signs of dehydration. You may have some tests, including blood and urine tests. Women may also have a pregnancy test.

What are the treatments for nausea and vomiting?

Treatments for nausea and vomiting depend on the cause. You may get treatment for the underlying problem. There are some medicines that can treatment nausea and vomiting. For severe cases of vomiting, you may need extra fluids through an IV (intravenous).

There are things that you can do to feel better:

Get enough fluids, to avoid dehydration. If you are having trouble keeping liquids down, drink small amounts of clear liquids often.
Eat bland foods; stay away from spicy, fatty, or salty foods
Eat smaller meals more often
Avoid strong smells, since they can sometimes trigger nausea and vomiting
If you are pregnant and have morning sickness, eat crackers before you get out of bed in the morning

[Learn More in MedlinePlus]

Cyclic vomiting syndrome

Cyclic vomiting syndrome is a disorder that causes recurrent episodes of nausea, vomiting, and tiredness (lethargy). This condition is diagnosed most often in young children, but it can affect people of any age.

The episodes of nausea, vomiting, and lethargy last anywhere from an hour to 10 days. An affected person may vomit several times per hour, potentially leading to a dangerous loss of fluids (dehydration). Additional symptoms can include unusually pale skin (pallor), abdominal pain, diarrhea, headache, fever, and an increased sensitivity to light (photophobia) or to sound (phonophobia). In most affected people, the signs and symptoms of each attack are quite similar. These attacks can be debilitating, making it difficult for an affected person to go to work or school.

Episodes of nausea, vomiting, and lethargy can occur regularly or apparently at random, or can be triggered by a variety of factors. The most common triggers are emotional excitement and infections. Other triggers can include periods without eating (fasting), temperature extremes, lack of sleep, overexertion, allergies, ingesting certain foods or alcohol, and menstruation.

If the condition is not treated, episodes usually occur four to 12 times per year. Between attacks, vomiting is absent, and nausea is either absent or much reduced. However, many affected people experience other symptoms during and between episodes, including pain, lethargy, digestive disorders such as gastroesophageal reflux and irritable bowel syndrome, and fainting spells (syncope). People with cyclic vomiting syndrome are also more likely than people without the disorder to experience depression, anxiety, and panic disorder. It is unclear whether these health conditions are directly related to nausea and vomiting.

Cyclic vomiting syndrome is often considered to be a variant of migraines, which are severe headaches often associated with pain, nausea, vomiting, and extreme sensitivity to light and sound. Cyclic vomiting syndrome is likely the same as or closely related to a condition called abdominal migraine, which is characterized by attacks of stomach pain and cramping. Attacks of nausea, vomiting, or abdominal pain in childhood may be replaced by migraine headaches as an affected person gets older. Many people with cyclic vomiting syndrome or abdominal migraine have a family history of migraines.

Most people with cyclic vomiting syndrome have normal intelligence, although some affected people have developmental delay or intellectual disability. Autism spectrum disorder, which affects communication and social interaction, have also been associated with cyclic vomiting syndrome. Additionally, muscle weakness (myopathy) and seizures are possible. People with any of these additional features are said to have cyclic vomiting syndrome plus.