R11.15: Cyclical vomiting syndrome unrelated to migraine
R11.15 is a billable, specific ICD-10-CM code for cyclical vomiting syndrome unrelated to migraine. It is valid for submission on a claim.
Check R11.15 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- cyclical vomiting in migraine (G43.A-)
Excludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
Inclusion terms
Alternative wordings a physician may use in the chart for this same code.
- Cyclic vomiting syndrome NOS
- Persistent vomiting
Excludes1 inherited from the categories above R11.15
A category’s note binds every code beneath it.
Written on R11: Nausea and vomiting
Other codes that can never be billed with R11.15
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
No CMS-HCC V28 category: this code does not change a RAF score.
Medicare coverage
R11.15 is named in 10 Medicare coverage policies: 10 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A56389Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
- A56421Billing and Coding: CT of the Abdomen and Pelvis
- A56456Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
- A56767Billing and Coding: Heavy Metal Testing
Alphabetic index entries that lead here
- Vomiting›cyclical syndrome NOS(unrelated to migraine)
- Vomiting›persistent
Code history
Unchanged in every release from FY2024 to FY2027.