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WHO Adds Diagnostic Code as Cannabis Hyperemesis Cases Rise in U.S.

The new classification enables standardized diagnosis for more reliable emergency‑department surveillance.

Overview

  • On Oct. 1, 2025, the U.S. introduced ICD code R11.16 after WHO recognized cannabis hyperemesis syndrome, enabling consistent tracking and research.
  • National data show emergency‑department visits for the syndrome rose from roughly 4 to 22 per 100,000 ED visits between 2016 and 2022.
  • Rates climbed sharply during 2020–21 and remained high, with adolescent visits increasing more than tenfold through 2023.
  • The condition involves severe, cyclical nausea, vomiting, and abdominal pain, with some patients finding brief relief in hot showers, and stopping cannabis is the only reliable cure.
  • Care is primarily supportive with IV fluids and antiemetics, while causes remain unclear with hypotheses including higher THC potency, wider product availability, and pandemic‑related behavior changes.