Wiki Nausea and vomiting due to antineoplastic therapy - ICD-10 Code for Nausea vomiting

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Code: R11.0

Code Name: ICD-10 Code for Nausea

Block: Symptoms and signs involving the digestive system and abdomen (R10-R19)

Excludes 2: 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 male (N48-N50)

Details: Nausea

Nausea NOS
Nausea without vomiting


Excludes1: 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)

Guidelines: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

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.

Excludes 2: 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)

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Best answers
I don't think you need to code T88.7XXA since the condition isn't unspecified, its given as nausea and vomiting. Since its adverse effect you will have to give the nature of adverse effect as pdx.


Idaho Falls Idaho
Best answers
Coding Nausea and Vomiting from Chemotherapy

It is a R112. Nausea with vomiting.
Also a T451X5A- Adverse reaction, initial encounter.


Marianne CPC
Hematology and Oncology Coder


Sparks, NV
Best answers
Nausea and Vomiting is a side-effect of most chemo. I would not code these as an adverse reaction.

Chris DePorter, CPC
Medical/Radiation Heme/Onc coder
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