Valid for Submission
R11.15 is a billable code used to specify a medical diagnosis of cyclical vomiting syndrome unrelated to migraine. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R11.15 might also be used to specify conditions or terms like persistent vomiting or uncontrollable vomiting.
According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.
|Short Description:||Cyclical vomiting syndrome unrelated to migraine|
|Long Description:||Cyclical vomiting syndrome unrelated to migraine|
New 2020 ICD-10 Code
R11.15 is new to ICD-10 code set for the FY 2020, effective October 1, 2019. The National Center for Health Statistics (NCHS) has published an update to the ICD-10-CM diagnosis codes which became effective October 1, 2019. This is a new and revised code for the FY 2020 (October 1, 2019 - September 30, 2020).
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 guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R11.15:
Inclusion Terms Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
- Cyclic vomiting syndrome NOS
- Persistent vomiting
Type 1 Excludes Type 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 in migraine G43.A
Type 2 Excludes Type 2 Excludes
A type 2 excludes note represents "Not included here". An excludes2 note indicates that the condition excluded is not part of the condition represented by the code, but a patient may have both conditions at the same time. When an Excludes2 note appears under a code, it is acceptable to use both the code and the excluded code together, when appropriate.
- bulimia nervosa F50.2
- diabetes mellitus due to underlying condition E08
Index to Diseases and Injuries
The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R11.15 are found in the index:
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Persistent vomiting
- Uncontrollable vomiting
Diagnostic Related Groups
The ICD-10 code R11.15 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.
- 393 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC
- 394 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC
- 395 - OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC
R1115 replaces the following previously assigned ICD-10 code(s):
- K31.89 - Other diseases of stomach and duodenum
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
Symptoms and signs involving the digestive system and abdomen (R10-R19)
Nausea and vomiting (R11)
- FY 2020 - Code Added, effective from 10/1/2019 through 9/30/2020