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

ICD-10 R11.15

Billable / Specific

Cyclical vomiting syndrome unrelated to migraine

R11
Block
2
Synonyms
257
LCDs
11
Payer Policies
0
Linked CPTs

About ICD-10-CM R11.15

ICD-10-CM code R11.15 represents Cyclical vomiting syndrome unrelated to migraine. This is a billable/specific code in the Symptoms, Signs, and Abnormal Findings chapter (block R11). The 2026 edition of ICD-10-CM R11.15 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R11.15. Per CMS ICD-10-CM Tabular 2026.

  • Cyclic vomiting syndrome NOS
  • Persistent vomiting

Type 1 Excludes

Pure excludes, these codes can never be coded together with R11.15. The conditions are mutually exclusive (e.g., congenital vs acquired forms).

  • cyclical vomiting in migraine (G43.A-)

Type 2 Excludes

Not included here, the excluded code is not part of R11.15, but a patient may have both conditions at the same time. Both codes may be coded together when applicable.

  • bulimia nervosa (F50.20)
  • diabetes mellitus due to underlying condition (E08.-)

Medicare LCD Coverage for R11.15

Local Coverage Determinations (LCDs) from CMS MACs that list R11.15 as a covered diagnosis.

257 LCDs

Showing top 10 of 257 total . Click a CPT for full coverage scope.

CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74170 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74177 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74160 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74178 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74150 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72194 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 74176 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72192 →
CMS LCD: Billing and Coding: CT of the Abdomen and Pelvis
Article ID: 56421, Effective: 2025-11-01 00:00:00, 5389 covered, 0 non-covered
CPT 72193 →
CMS LCD: Billing and Coding: Magnesium
Article ID: 59186, Effective: 2025-10-01 00:00:00, 4358 covered, 0 non-covered
CPT 83735 →

Commercial Payer Coverage

Coverage policies from major commercial payers referencing R11.15.

11 policies

5 Medicare

Billing and Coding: Upper Gastrointestinal Endoscopy and Visualization
Policy ID: ART-56389
Billing and Coding: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Colonoscopy/Sigmoidoscopy/Proctosigmoidoscopy
Policy ID: ART-56456
Billing and Coding: Heavy Metal Testing
Policy ID: ART-56767
Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063

1 Aetna

Cholecystokinin Cholescintigraphy
Policy ID: CPB-0266

CPT Codes Commonly Billed with R11.15

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

No procedure linkages on file for R11.15

We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.

ICD-10 R11.15, Billing FAQ

Is ICD-10 code R11.15 billable? +

Yes, R11.15 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 R11.15? +

ICD-10 R11.15 includes: Cyclic vomiting syndrome NOS; Persistent vomiting.

What codes are Type 1 Excludes for R11.15? +

Type 1 Excludes (never code together with R11.15): cyclical vomiting in migraine (G43.A-)

What codes are Type 2 Excludes for R11.15? +

Type 2 Excludes (may be coded together when both conditions exist): bulimia nervosa (F50.20); diabetes mellitus due to underlying condition (E08.-)

Get the full PayerReady toolkit

Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.

Start free →

Run this code through our claim audit tool

Check NCCI bundling, MUE limits, and modifier logic before submission.

Try the auditor →

Did this page help?

Quick signal so we know what to improve.

Thanks!

If you want a code reference page that doesn't exist yet, email coding@payerready.com.

Sorry to hear that.

Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.

Reviewed by the PayerReady Medical Coding Team

Verified against the CMS 2026 code set on June 1, 2026.

Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team

Faster Approvals

Ready to Cut Your Enrollment Timeline in Half?

Join providers in all 50 states who handed off credentialing to a dedicated specialist. Create your free account in minutes and start enrolling the same day.

All 50 States Covered
No Long-Term Contracts
HIPAA HIPAA Compliant Platform
Dedicated Specialist Included