Nausea or vomiting

ICD10 Diagnosis
Dx:	Nausea or vomiting
ICD10 code:	R11
Pre-ICD10 counterpart:	Gastroenteritis
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	none
Start Date:
Stop Date:
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • R11

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Additional Info

Includes:

• Cyclic vomiting syndrome

Symptom/Sign/Test Result not needed when cause known

• This code identifies a symptom or a sign, or an abnormal test result, not a disorder.
  • So, you should code the cause of the symptom/sign/abnormal test, if known -- and if you do so, then also coding and combining the symptom/sign/abnormal test result to that cause is generally optional, but is guided by the following guidelines.
• Here are guidelines for whether or not to ALSO code the symptom/sign/abnormal test when you DO code the underlying cause:
  • If it is a subjective symptom (e.g. pain) then coding it is optional
  • When it is a physical exam finding (e.g. abdominal tenderness) then coding it is generally optional
    • An exception is when the symptom/sign/abnormal testis so severe that all by itself it mandates hospitalization and/or a procedure -- a good example is a patient who has Wegener's granulomatosis is admitted due with Hemoptysis. Since hemoptysis is a physical finding that fits this description of "severe" it should be coded, and combined with Wegener's.
  • When it is an abnormal laboratory finding which in and of itself has relevance (e.g. hyperkalemia, hypoalbuminemia) then USUALLY code it
    • You don't need to code the abnormal lab finding is when it is actually a major component of the underlying cause --- example is when a person presents with an acute MI, there is no need to code the abnormal troponin as Abnormal blood chemistry NOS
  • The trickiest of these guidelines is for abnormal radiologic tests
    • When the abnormal test is fully explained by the underlying diagnosis/diagnoses (e.g. pneumonia as cause of abnormal chest imaging, or a skull fracture with an intracranial hemorrhage both identified by an abnormal head CT) then coding the abnormal imaging result is optional
    • But remember there are some rare things for which the abnormal imaging result IS part of coding the entity, for example we code retroperitoneal hemorrhage by the combination of Hemorrhage, NOS and Retroperitoneal area, diagnostic imaging, abnormal
• Sometimes there may be multiple symptom/sign/test result that might or might NOT be related to each other by virtue of having the same underlying cause. Since in the absence of KNOWING that cause, such assumptions may well be incorrect, do NOT combine them together if you are not certain they actually have the same underlying cause.

Repeated events

If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.

Example:

A person has a self-limited episode of A-fib. It goes away and then recurs. Only code the first one. A person has a self-limited episode of A-fib. It goes away but then he has an episode of V-tach. As this is a different diagnosis, both of these should be listed, but only code once each. Patient comes in with hypokalemia. It’s treated and remits, but the next day it recurs. Only code the first time.

• • use for Cyclic vomiting syndrome

Alternate ICD10s to consider coding instead or in addition

• Hematemesis
• Mallory-Weiss tear/syndrome, with or without hemorrhage
• Hyperemesis gravidarum (excessive vomiting in pregnancy)
• Colitis, enteritis, enterocolitis, or gastroenteritis, noninfectious NOS
• Gastrointestinal infection (gastroenteritis, colitis), bacterial, NOS
• Gastrointestinal infection (gastroenteritis, colitis), bug NOS
• Gastrointestinal infection (gastroenteritis, colitis), protozoal, NOS
• Gastrointestinal infection (gastroenteritis, colitis), viral
• Lactose deficiency/intolerance
• Hyperemesis gravidarum (excessive vomiting in pregnancy)
• Antineoplastic/chemotherapy or immunosuppressive drugs, adverse effect
• Gastroparesis
• Intestinal obstruction, NOS (small or large bowel)
• Headache, migraine
• Liver failure w/wo hepatic encephalopathy, acute or subacute NOS
• Alcohol use
• Eating disorder
• Appendicitis, with or without rupture or peritonitis
• Brain, primary malignancy
• Cholecystitis, acute
• Cholecystitis, chronic
• Crohn's disease (regional enteritis)
• Depression (major depressive disorder, recurrent depression)
• Diabetic ketoacidosis (DKA)
• Dizziness
• Otitis media, infectious
• Splenomegaly
• Food poisoning (due to foodborne bacterial toxin), NOS
• Food, poisoning
• Gastro-esophageal reflux disease (GERD), with or without esophagitis
• Myocardial infarction, acute (AMI), NOS
• Myocardial infarction (STEMI), acute (AMI), transmural (Q-wave)
• Myocardial infarction, acute (AMI), subendocardial/non-transmural (non-Q-wave)

• Hiatus (diaphragmatic) hernia
• Hyperparathyroidism
• Hyperthyroidism (with or without goiter)
• Hypoparathyroidism
• Mesenteric ischemia, NOS
• Mesenteric ischemia, chronic
• Mesenteric ischemia, acute
• Irritable bowel syndrome
• medications
• Meniere's disease
• Noninfectious (aseptic) meningitis
• Meningitis, viral - incl West Nile
• Meningitis, fungal
• Meningitis, bacterial, NOS
• Pancreas, primary malignancy
• Peptic ulcer, site unspecifiied, NOS
• Radiation Therapy
• Pain, acute NOS

Candidate Combined ICD10 codes

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection, Lymphoma, Male genital neoplasm, Mechanism, Meningitis, Metabolic/nutrition, Metastasis, Misc, Muscle problem, Muscles/tendon trauma, Musculoskeletal/soft tissue, Musculoskeletal/soft tissue neoplasm... further results