ICD-10-CM 2027
ICD-10 code for Bilious vomiting
From the official ICD-10-CM alphabetic index entry “Vomiting › bilious (cause unknown)”. Page updated September 29, 2026.
About coding Bilious vomiting
The ICD-10-CM code for Bilious vomiting is R11.14 (Bilious vomiting). The official index lists 2 more specific codes, so check the documentation for details such as type, cause, site or severity before settling on R11.14.
Within R11.1 (vomiting), R11.14 is specifically for Bilious vomiting. Related codes cover unspecified (R11.10), without nausea (R11.11), Projectile vomiting (R11.12), of fecal matter (R11.13), Cyclical vomiting syndrome unrelated to migraine (R11.15) and cannabis hyperemesis syndrome (R11.16).
It is not a CC or MCC, so as a secondary diagnosis it doesn't change the MS-DRG severity level.
In MS-DRG v44.0, it is part of the grouping logic for DRG 391 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders with MCC, relative weight 1.2392) and DRG 392 (Esophagitis, Gastroenteritis and Miscellaneous Digestive Disorders without MCC, relative weight 0.7645), in MDC 06 (Diseases and Disorders of the Digestive System), as a principal or secondary diagnosis. The DRG a claim lands in depends on the principal diagnosis, procedures and any CC/MCC secondary diagnoses.
More specific Bilious vomiting codes (official index)
Common questions about Bilious vomiting ICD-10 codes
What is the ICD-10 code for Bilious vomiting?
- R11.14 — Bilious vomiting. More specific codes apply when the documentation supports them: P92.01, K91.0.
Is R11.14 billable?
- Yes. R11.14 is a billable/specific ICD-10-CM code valid for FY2027 (October 1, 2026 – September 30, 2027).
Can R11.14 be used as a principal diagnosis?
- Yes. The Medicare Code Editor doesn't restrict R11.14 as a principal diagnosis.
Is R11.14 a CC or MCC?
- No. R11.14 is neither a CC nor an MCC under MS-DRG v44.0.