R11
R11 — Nausea and vomiting
Non-billable headerICD-10-CM
R11 is a non-billable header ICD-10-CM code for nausea and vomiting. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
Other codes that can never be billed with R11
These codes carry an Excludes1 note pointing at R11. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R11 alone.
Risk adjustment
R11 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead R11
3 child codes. Green means billable.
Questions about R11
- Is R11 a billable ICD-10-CM code?
- No. R11 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does R11 sit in the tabular list?
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).
- What cannot be coded together with R11?
- R11 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.