Not Valid for Submission
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 2021 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 for 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 codes with a higher level of specificity when coding for cyclical vomiting:
Tabular List of Diseases and Injuries
The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code G43.A:
Type 1 ExcludesType 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
- cyclical vomiting syndrome unrelated to migraine R11.15
Information for Patients
Nausea and Vomiting
Also called: Emesis
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
- Motion sickness
- Food poisoning
- Medicines, including those for cancer chemotherapy
- GERD (reflux) and ulcers
- Intestinal obstruction
When should I 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
- Bland diet (Medical Encyclopedia)
- Diet - clear liquid (Medical Encyclopedia)
- Nausea and vomiting (Medical Encyclopedia)
- When you have nausea and vomiting (Medical Encyclopedia)
[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.
[Learn More in MedlinePlus]