ICD-10-CM 2026 · Effective October 1, 2025

ICD-10 R11.10

Billable / Specific

Vomiting, unspecified

R11
Block
1
Synonyms
177
LCDs
10
Payer Policies
1
Linked CPTs

About ICD-10-CM R11.10

ICD-10-CM code R11.10 represents Vomiting, unspecified. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R11). The 2026 edition of ICD-10-CM R11.10 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R11.10. Per CMS ICD-10-CM Tabular 2026.

  • Vomiting NOS

Medicare LCD Coverage for R11.10

Local Coverage Determinations (LCDs) from CMS MACs that list R11.10 as a covered diagnosis.

177 LCDs

Showing top 10 of 177 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43246 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43243 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43235 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43250 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43236 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43247 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43249 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43254 →
CMS LCD: Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Article ID: 57063, Effective: 2025-10-01 00:00:00, 820 covered, 1 non-covered
CPT 43245 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R11.10.

10 policies

2 Aetna

Allergy and Hypersensitivity - Medical Clinical Policy Bulletins | Aetna
Policy ID: CPB-0038
Antiemetic Therapy
Policy ID: CPB-0724

1 Cigna

Acupuncture - (CPG024)
Policy ID: CPG024_ACUPUNCTURE

5 Medicare

Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: Wireless Gastrointestinal Motility Monitoring Systems
Policy ID: ART-56724
Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063
Billing and Coding: Parathormone (Parathyroid Hormone)
Policy ID: ART-57122
Billing and Coding: Upper Gastrointestinal Endoscopy (Diagnostic and Therapeutic)
Policy ID: ART-57414

CPT Codes Commonly Billed with R11.10

Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.

1 linkages
  • 91112 CMS LCD: Billing and Coding: Wireless Gastrointestinal Motility Monitoring Systems CMS LCD

Convert R11.10 to ICD-9-CM

Per CMS General Equivalence Mappings (GEMs), useful for legacy data review and historical claim analysis.

ICD-10ICD-9Mapping Flags
R11.10 5362 10000
R11.10 78703 10000

Flags format (5 digits): Approximate · No Map · Combination · Scenario · Choice List. Source: CMS 2017 GEMs (final version).

ICD-10 R11.10, Billing FAQ

Is ICD-10 code R11.10 billable? +

Yes, R11.10 is a billable ICD-10-CM code that can appear as a primary or secondary diagnosis on claims.

What other names or terms map to R11.10? +

ICD-10 R11.10 includes: Vomiting NOS.

What CPT codes are commonly billed with R11.10? +

Procedures frequently paired with R11.10 include: 91112.

What ICD-9 codes does R11.10 map to? +

Per CMS GEMs, R11.10 maps to ICD-9 codes: 5362, 78703. Useful for legacy data review and historical claim analysis.

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Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on May 31, 2026.

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