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

ICD-10 R11.2

Billable / Specific

Nausea with vomiting, unspecified

R11
Block
1
Synonyms
341
LCDs
18
Payer Policies
2
Linked CPTs

About ICD-10-CM R11.2

ICD-10-CM code R11.2 represents Nausea with 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 R11.2 became effective on October 1, 2025.

Inclusion Terms / Approximate Synonyms

Clinical terms and conditions classified under R11.2. Per CMS ICD-10-CM Tabular 2026.

  • Persistent nausea with vomiting NOS

Medicare LCD Coverage for R11.2

Local Coverage Determinations (LCDs) from CMS MACs that list R11.2 as a covered diagnosis.

341 LCDs

Showing top 10 of 341 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 R11.2.

18 policies

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: CT of the Abdomen and Pelvis
Policy ID: ART-56421
Billing and Coding: Heavy Metal Testing
Policy ID: ART-56767
Billing and Coding: Diagnostic and Therapeutic Esophagogastroduodenoscopy
Policy ID: ART-57063
Billing and Coding: Parathormone (Parathyroid Hormone)
Policy ID: ART-57122

5 Aetna

Acupuncture and Dry Needling
Policy ID: CPB-0135
Lead Testing
Policy ID: CPB-0553
Gastrointestinal Manometry
Policy ID: CPB-0616
Electrical Stimulation for Nausea, Vomiting, Motion Sickness and Other Selected Indications
Policy ID: CPB-0676
Antiemetic Therapy
Policy ID: CPB-0724

CPT Codes Commonly Billed with R11.2

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

2 linkages
  • 43239 EGD with biopsy — abdominal pain, GERD, gastritis, ulcer Gastroenterology
  • 43235 Diagnostic EGD — abdominal pain, nausea, vomiting, GERD, gastric ulcer, gastritis, hematemesis, melena, Barrett esophagus, dysphagia, esophagitis, weight loss, iron deficiency anemia, polyp Gastroenterology

Convert R11.2 to ICD-9-CM

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

ICD-10ICD-9Mapping Flags
R11.2 78701 10000

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

ICD-10 R11.2, Billing FAQ

Is ICD-10 code R11.2 billable? +

Yes, R11.2 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 R11.2? +

ICD-10 R11.2 includes: Persistent nausea with vomiting NOS.

What CPT codes are commonly billed with R11.2? +

Procedures frequently paired with R11.2 include: 43239, 43235.

What ICD-9 codes does R11.2 map to? +

Per CMS GEMs, R11.2 maps to ICD-9 codes: 78701. 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 July 16, 2026.

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