R11.13

R11.13: Vomiting of fecal matter

Billable / specific codeICD-10-CM

R11.13 is a billable, specific ICD-10-CM code for vomiting of fecal matter. It is valid for submission on a claim.

Check R11.13 with the rest of the claim: free scrubber

Excludes1 inherited from the categories above R11.13

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 R11.13

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

R11.13 is named in 7 Medicare coverage policies: 7 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56394Billing and Coding: Colonoscopy and Sigmoidoscopy-Diagnostic
A56421Billing and Coding: CT of the Abdomen and Pelvis
A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
A56632Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy

Alphabetic index entries that lead here

Vomiting›fecal matter

Code history

Unchanged in every release from FY2024 to FY2027.