R11.0

R11.0: Nausea

Billable / specific codeICD-10-CM

R11.0 is a billable, specific ICD-10-CM code for nausea. It is valid for submission on a claim.

Check R11.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Nausea NOS
Nausea without vomiting

Excludes1 inherited from the categories above R11.0

A category’s note binds every code beneath it.

Written on R11: Nausea and vomiting

cyclical vomiting associated with migraine (G43.A-)
excessive vomiting in pregnancy (O21.-)
hematemesis (K92.0)
neonatal hematemesis (P54.0)
newborn vomiting (P92.0-)
psychogenic vomiting (F50.89)
vomiting associated with bulimia nervosa (F50.2-)
vomiting following gastrointestinal surgery (K91.0)

Other codes that can never be billed with R11.0

Their own Excludes1 notes name this code, so the conflict is not listed above.

P92.0Vomiting of newborn

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R11.0 is named in 6 Medicare coverage policies: 6 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
A57063Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
A57122Billing and Coding: Parathormone (Parathyroid Hormone)
A57414Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)