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ICD-10 Coding for Cannabinoid Hyperemesis Syndrome(R11.2, F12.90)

Complete ICD-10-CM coding and documentation guide for Cannabinoid Hyperemesis Syndrome. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

CHSCannabis Hyperemesis

Related ICD-10 Code Ranges

Complete code families applicable to Cannabinoid Hyperemesis Syndrome

R11-R19Primary Range

Symptoms and signs involving the digestive system and abdomen

R11.2 is used for nausea and vomiting, a primary symptom of CHS.

Mental and behavioral disorders due to use of cannabinoids

F12 codes are used to document cannabis use, which is essential for diagnosing CHS.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R11.2Nausea with vomiting, unspecifiedUse when nausea and vomiting are present with a history of cannabis use.
  • Documented nausea and vomiting
  • History of cannabis use
F12.90Cannabis use, unspecified, uncomplicatedUse when cannabis use is present without dependence or abuse.
  • Documented cannabis use

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for cannabinoid hyperemesis syndrome

Essential facts and insights about Cannabinoid Hyperemesis Syndrome

In the US, cannabinoid hyperemesis syndrome is coded using R11.2 for nausea and vomiting, along with F12.90 for cannabis use.

Primary ICD-10-CM Codes for cannabinoid hyperemesis syndrome

Nausea with vomiting, unspecified
Billable Code

Decision Criteria

clinical Criteria

  • Presence of nausea and vomiting with cannabis use history.

Applicable To

  • Nausea and vomiting

Excludes

  • Cyclic vomiting syndrome (R11.15)

Clinical Validation Requirements

  • Documented nausea and vomiting
  • History of cannabis use

Code-Specific Risks

  • Risk of undercoding if not paired with F12 codes.

Coding Notes

  • Always pair with an F12 code to indicate cannabis use.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Cannabis use, unspecified

F12.90
Use to document cannabis use when diagnosing CHS.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Cyclic vomiting syndrome

R11.15
Cyclic vomiting syndrome is not associated with cannabis use.

Cannabis dependence, uncomplicated

F12.20
Use F12.20 if dependence is documented.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Cannabinoid Hyperemesis Syndrome to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R11.2.

Impact

Clinical: Misdiagnosis of CHS., Regulatory: Non-compliance with coding standards., Financial: Potential reimbursement issues.

Mitigation Strategy

Educate clinicians on documentation requirements.

Impact

Reimbursement: May affect DRG assignment and reimbursement., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate representation of patient condition.

Mitigation Strategy

Always pair R11.2 with an F12 code to indicate cannabis use.

Impact

Risk of audits due to missing F12 codes with R11.2.

Mitigation Strategy

Ensure all relevant codes are used and documented.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Cannabinoid Hyperemesis Syndrome, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Cannabinoid Hyperemesis Syndrome

Use these documentation templates to ensure complete and accurate documentation for Cannabinoid Hyperemesis Syndrome. These templates include all required elements for proper coding and billing.

Emergency Department Visit for CHS

Specialty: Emergency Medicine

Required Elements

  • History of cannabis use
  • Nausea and vomiting symptoms
  • Relief with hot showers

Example Documentation

Patient presents with nausea and vomiting, uses cannabis daily, symptoms relieved by hot showers.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Nausea and vomiting, possible cannabis use.
Good Documentation Example
Daily cannabis use for 3 years; cyclical vomiting unresponsive to ondansetron, resolved with hot showers.
Explanation
Good example links symptoms directly to cannabis use and specifies symptom relief methods.

Need help with ICD-10 coding for Cannabinoid Hyperemesis Syndrome? Ask your questions below.

Ask about any ICD-10 CM code, or paste a medical note

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