2025 ICD-10-CM code J11.2
(Active) Effective Date: N/A Diseases of the respiratory system - Influenza due to other identified influenza virus 10 Feed
Influenza due to unidentified influenza virus with gastrointestinal manifestations.
Medical necessity for J11.2 is established by the presence of influenza confirmed by appropriate testing (e.g., rapid antigen test, PCR) accompanied by gastrointestinal symptoms such as nausea, vomiting, or diarrhea.These symptoms should be significant enough to warrant medical attention and may require additional supportive care or management.
Diagnosis of J11.2 involves identifying gastrointestinal symptoms in a patient presenting with other typical influenza symptoms, which requires careful patient history and clinical evaluation.The clinician should also consider additional laboratory tests to confirm the diagnosis and rule out other causes of gastrointestinal symptoms. If influenza is suspected, appropriate infection control measures must be followed to prevent transmission. Treatment involves symptomatic relief and monitoring for complications.
In simple words: This code refers to the flu with stomach or digestive problems, caused by a flu virus that wasn't identified.
Influenza with gastrointestinal symptoms such as nausea, vomiting, and diarrhea, caused by an influenza virus that could not be identified.
Example 1: A 5-year-old child presents with fever, cough, sore throat, vomiting, and diarrhea.Testing for common viral gastroenteritis pathogens is negative.A rapid influenza test is positive. J11.2 is the appropriate diagnosis., A 70-year-old woman with a history of COPD experiences fever, muscle aches, cough, and abdominal pain.She tests positive for influenza.Given the abdominal pain in the setting of influenza, J11.2 may be considered., A 30-year-old man develops fever, chills, cough, and vomiting during a community-wide influenza outbreak. Other potential causes of his gastrointestinal symptoms are ruled out. The physician diagnoses him with influenza with gastrointestinal manifestations, coded as J11.2.
Documentation should include details of the patient's signs and symptoms, such as fever, cough, sore throat, nausea, vomiting, diarrhea, and abdominal pain. Additionally, the documentation should note any laboratory testing performed, including influenza tests (rapid antigen, PCR) and tests to exclude other causes of gastroenteritis.The clinical findings supporting the diagnosis of influenza with gastrointestinal manifestations should be clearly documented.
** It is important to distinguish influenza with gastrointestinal manifestations (J11.2) from viral gastroenteritis, often referred to as the "stomach flu," which is not caused by the influenza virus.J11.2 should only be used when influenza is confirmed.
- Specialties:Family Medicine, Internal Medicine, Pediatrics, Emergency Medicine, Infectious Disease
- Place of Service:Office, Inpatient Hospital, Emergency Room - Hospital, Urgent Care Facility, Telehealth Provided in Patient’s Home, Telehealth Provided Other than in Patient’s Home