2021 ICD-10-CM Diagnosis Code R11.15

Cyclical vomiting syndrome unrelated to migraine

    2020 - New Code 2021 Billable/Specific Code
  • R11.15 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2021 edition of ICD-10-CM R11.15 became effective on October 1, 2020.
  • This is the American ICD-10-CM version of R11.15 - other international versions of ICD-10 R11.15 may differ.
Applicable To
  • Cyclic vomiting syndrome NOS
  • Persistent vomiting
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R11.15. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • cyclical vomiting in migraine (
    ICD-10-CM Diagnosis Code G43.A

    Cyclical vomiting

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cyclical vomiting syndrome unrelated to migraine (R11.15)
    G43.A-
    )
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (R11.15) and the excluded code together.
  • bulimia nervosa (
    ICD-10-CM Diagnosis Code F50.2

    Bulimia nervosa

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Bulimia NOS
    • Hyperorexia nervosa
    Type 1 Excludes
    • anorexia nervosa, binge eating/purging type (F50.02)
    F50.2
    )
  • diabetes mellitus due to underlying condition (
    ICD-10-CM Diagnosis Code E08
    • E08 Diabetes mellitus due to underlying condition...
      • E08.0 Diabetes mellitus due to underlying condition...
        • E08.00 Diabetes mellitus due to underlying condition...
        • E08.01 Diabetes mellitus due to underlying condition...
      • E08.1 Diabetes mellitus due to underlying condition...
        • E08.10 Diabetes mellitus due to underlying condition...
        • E08.11 Diabetes mellitus due to underlying condition...
      • E08.2 Diabetes mellitus due to underlying condition...
        • E08.21 Diabetes mellitus due to underlying condition...
        • E08.22 Diabetes mellitus due to underlying condition...
        • E08.29 Diabetes mellitus due to underlying condition...
      • E08.3 Diabetes mellitus due to underlying condition...
        • E08.31 Diabetes mellitus due to underlying condition...
          • E08.311 Diabetes mellitus due to underlying condition...
          • E08.319 Diabetes mellitus due to underlying condition...
        • E08.32 Diabetes mellitus due to underlying condition...
          • E08.321 Diabetes mellitus due to underlying condition...
            • E08.3211 Diabetes mellitus due to underlying condition...
            • E08.3212 Diabetes mellitus due to underlying condition...
            • E08.3213 Diabetes mellitus due to underlying condition...
            • E08.3219 Diabetes mellitus due to underlying condition...
          • E08.329 Diabetes mellitus due to underlying condition...
            • E08.3291 Diabetes mellitus due to underlying condition...
            • E08.3292 Diabetes mellitus due to underlying condition...
            • E08.3293 Diabetes mellitus due to underlying condition...
            • E08.3299 Diabetes mellitus due to underlying condition...
        • E08.33 Diabetes mellitus due to underlying condition...
          • E08.331 Diabetes mellitus due to underlying condition...
            • E08.3311 Diabetes mellitus due to underlying condition...
            • E08.3312 Diabetes mellitus due to underlying condition...
            • E08.3313 Diabetes mellitus due to underlying condition...
            • E08.3319 Diabetes mellitus due to underlying condition...
          • E08.339 Diabetes mellitus due to underlying condition...
            • E08.3391 Diabetes mellitus due to underlying condition...
            • E08.3392 Diabetes mellitus due to underlying condition...
            • E08.3393 Diabetes mellitus due to underlying condition...
            • E08.3399 Diabetes mellitus due to underlying condition...
        • E08.34 Diabetes mellitus due to underlying condition...
          • E08.341 Diabetes mellitus due to underlying condition...
            • E08.3411 Diabetes mellitus due to underlying condition...
            • E08.3412 Diabetes mellitus due to underlying condition...
            • E08.3413 Diabetes mellitus due to underlying condition...
            • E08.3419 Diabetes mellitus due to underlying condition...
          • E08.349 Diabetes mellitus due to underlying condition...
            • E08.3491 Diabetes mellitus due to underlying condition...
            • E08.3492 Diabetes mellitus due to underlying condition...
            • E08.3493 Diabetes mellitus due to underlying condition...
            • E08.3499 Diabetes mellitus due to underlying condition...
        • E08.35 Diabetes mellitus due to underlying condition...
          • E08.351 Diabetes mellitus due to underlying condition...
            • E08.3511 Diabetes mellitus due to underlying condition...
            • E08.3512 Diabetes mellitus due to underlying condition...
            • E08.3513 Diabetes mellitus due to underlying condition...
            • E08.3519 Diabetes mellitus due to underlying condition...
          • E08.352 Diabetes mellitus due to underlying condition...
            • E08.3521 Diabetes mellitus due to underlying condition...
            • E08.3522 Diabetes mellitus due to underlying condition...
            • E08.3523 Diabetes mellitus due to underlying condition...
            • E08.3529 Diabetes mellitus due to underlying condition...
          • E08.353 Diabetes mellitus due to underlying condition...
            • E08.3531 Diabetes mellitus due to underlying condition...
            • E08.3532 Diabetes mellitus due to underlying condition...
            • E08.3533 Diabetes mellitus due to underlying condition...
            • E08.3539 Diabetes mellitus due to underlying condition...
          • E08.354 Diabetes mellitus due to underlying condition...
            • E08.3541 Diabetes mellitus due to underlying condition...
            • E08.3542 Diabetes mellitus due to underlying condition...
            • E08.3543 Diabetes mellitus due to underlying condition...
            • E08.3549 Diabetes mellitus due to underlying condition...
          • E08.355 Diabetes mellitus due to underlying condition...
            • E08.3551 Diabetes mellitus due to underlying condition...
            • E08.3552 Diabetes mellitus due to underlying condition...
            • E08.3553 Diabetes mellitus due to underlying condition...
            • E08.3559 Diabetes mellitus due to underlying condition...
          • E08.359 Diabetes mellitus due to underlying condition...
            • E08.3591 Diabetes mellitus due to underlying condition...
            • E08.3592 Diabetes mellitus due to underlying condition...
            • E08.3593 Diabetes mellitus due to underlying condition...
            • E08.3599 Diabetes mellitus due to underlying condition...
        • E08.36 Diabetes mellitus due to underlying condition...
        • E08.37 Diabetes mellitus due to underlying condition...
          • E08.37X1 Diabetes mellitus due to underlying condition...
          • E08.37X2 Diabetes mellitus due to underlying condition...
          • E08.37X3 Diabetes mellitus due to underlying condition...
          • E08.37X9 Diabetes mellitus due to underlying condition...
        • E08.39 Diabetes mellitus due to underlying condition...
      • E08.4 Diabetes mellitus due to underlying condition...
        • E08.40 Diabetes mellitus due to underlying condition...
        • E08.41 Diabetes mellitus due to underlying condition...
        • E08.42 Diabetes mellitus due to underlying condition...
        • E08.43 Diabetes mellitus due to underlying condition...
        • E08.44 Diabetes mellitus due to underlying condition...
        • E08.49 Diabetes mellitus due to underlying condition...
      • E08.5 Diabetes mellitus due to underlying condition...
        • E08.51 Diabetes mellitus due to underlying condition...
        • E08.52 Diabetes mellitus due to underlying condition...
        • E08.59 Diabetes mellitus due to underlying condition...
      • E08.6 Diabetes mellitus due to underlying condition...
        • E08.61 Diabetes mellitus due to underlying condition...
          • E08.610 Diabetes mellitus due to underlying condition...
          • E08.618 Diabetes mellitus due to underlying condition...
        • E08.62 Diabetes mellitus due to underlying condition...
          • E08.620 Diabetes mellitus due to underlying condition...
          • E08.621 Diabetes mellitus due to underlying condition...
          • E08.622 Diabetes mellitus due to underlying condition...
          • E08.628 Diabetes mellitus due to underlying condition...
        • E08.63 Diabetes mellitus due to underlying condition...
          • E08.630 Diabetes mellitus due to underlying condition...
          • E08.638 Diabetes mellitus due to underlying condition...
        • E08.64 Diabetes mellitus due to underlying condition...
          • E08.641 Diabetes mellitus due to underlying condition...
          • E08.649 Diabetes mellitus due to underlying condition...
        • E08.65 Diabetes mellitus due to underlying condition...
        • E08.69 Diabetes mellitus due to underlying condition...
      • E08.8 Diabetes mellitus due to underlying condition...
      • E08.9 Diabetes mellitus due to underlying condition...
    E08.-
    )
The following code(s) above R11.15 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R11.15:
  • R00-R99
    2021 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
  • R10-R19
    2021 ICD-10-CM Range R10-R19

    Symptoms and signs involving the digestive system and abdomen

    Type 2 Excludes
    • congenital or infantile pylorospasm (Q40.0)
    • gastrointestinal hemorrhage (K92.0-K92.2)
    • intestinal obstruction (K56.-)
    • newborn gastrointestinal hemorrhage (P54.0-P54.3)
    • newborn intestinal obstruction (P76.-)
    • pylorospasm (K31.3)
    • signs and symptoms involving the urinary system (R30-R39)
    • symptoms referable to female genital organs (N94.-)
    • symptoms referable to male genital organs (N48-N50)
    Symptoms and signs involving the digestive system and abdomen
  • R11
    ICD-10-CM Diagnosis Code R11

    Nausea and vomiting

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • 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)
    Nausea and vomiting
ICD-10-CM R11.15 is grouped within Diagnostic Related Group(s) (MS-DRG v38.0):
  • 393 Other digestive system diagnoses with mcc
  • 394 Other digestive system diagnoses with cc
  • 395 Other digestive system diagnoses without cc/mcc
Code History
  • 2020 (effective 10/1/2019): New code
  • 2021 (effective 10/1/2020): No change
Code annotations containing back-references to R11.15:
  • Type 1 Excludes: G43.A
    ICD-10-CM Diagnosis Code G43.A

    Cyclical vomiting

      2016 2017 2018 2019 2020 2021 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cyclical vomiting syndrome unrelated to migraine (R11.15)

Diagnosis Index entries containing back-references to R11.15:
  • Vomiting R11.10
    ICD-10-CM Diagnosis Code R11.10

    Vomiting, unspecified

      2016 2017 2018 2019 2020 2021 Billable/Specific Code
    Applicable To
    • Vomiting NOS
    • cyclical syndrome NOS R11.15 (unrelated to migraine)
    • persistent R11.15

ICD-10-CM Codes Adjacent To R11.15
R10.84 Generalized abdominal pain
R10.9 Unspecified abdominal pain
R11 Nausea and vomiting
R11.0 Nausea
R11.1 Vomiting
R11.10 …… unspecified
R11.11 …… without nausea
R11.12 Projectile vomiting
R11.13 …… of fecal matter
R11.14 Bilious vomiting
R11.15 Cyclical vomiting syndrome unrelated to migraine
R11.2 Nausea with vomiting, unspecified
R12 Heartburn
R13 Aphagia and dysphagia
R13.0 Aphagia
R13.1 Dysphagia
R13.10 …… unspecified
R13.11 …… oral phase
R13.12 …… oropharyngeal phase
R13.13 …… pharyngeal phase
R13.14 …… pharyngoesophageal phase

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.