P76 vs R11

P76 (Other intestinal obstruction of newborn) compared with R11 (Nausea and vomiting), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. R11 carries an Excludes2 note covering P76: “newborn intestinal obstruction (P76.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	P76Other intestinal obstruction of newborn	R11Nausea and vomiting
Billing status	Non-billable header Report instead: P76.0, P76.1, P76.2, P76.8, P76.9	Non-billable header Report instead: R11.0, R11.10, R11.11, R11.12, R11.13
Classification	P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)	R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
Definition	Other intestinal obstruction of newborn is a non-billable ICD-10-CM category code (P76).	Nausea and vomiting is a non-billable ICD-10-CM category code (R11).

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources