ICD-10-CM Code R57.9

Shock, unspecified

Version 2020 Billable Code No Valid Principal Dx

Valid for Submission

R57.9 is a billable code used to specify a medical diagnosis of shock, unspecified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R57.9 might also be used to specify conditions or terms like acute kidney injury due to circulatory failure, cardiorenal syndrome, impending shock, ischemia of kidney, organ dysfunction syndrome, refractory shock, etc

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

ICD-10:R57.9
Short Description:Shock, unspecified
Long Description:Shock, unspecified

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R57.9:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.
  • Failure of peripheral circulation NOS

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R57.9 are found in the index:


Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

  • Acute kidney injury due to circulatory failure
  • Cardiorenal syndrome
  • Impending shock
  • Ischemia of kidney
  • Organ dysfunction syndrome
  • Refractory shock
  • Shock

Clinical Information

  • EXTRACORPOREAL SHOCKWAVE THERAPY-. a nonsurgical treatment that uses either high energy shock waves or low energy acoustic waves to treat various musculoskeletal conditions e.g. plantar fasciitis; tennis elbow. a probe placed on the skin conducts the shock waves thereby delivering a mechanical force to the body’s tissues.
  • ANAPHYLAXIS-. an acute hypersensitivity reaction due to exposure to a previously encountered antigen. the reaction may include rapidly progressing urticaria respiratory distress vascular collapse systemic shock and death.
  • COMBAT DISORDERS-. neurotic reactions to unusual severe or overwhelming military stress.
  • CONVULSIVE THERAPY-. convulsions induced in order to treat mental disorders. it is used primarily in the treatment of severe affective disorders and schizophrenia.
  • ELECTROCONVULSIVE THERAPY-. electrically induced convulsions primarily used in the treatment of severe affective disorders and schizophrenia.
  • ELECTROSHOCK-. induction of a stress reaction in experimental subjects by means of an electrical shock; applies to either convulsive or non convulsive states.
  • INSULIN COMA-. severe hypoglycemia induced by a large dose of exogenous insulin resulting in a coma or profound state of unconsciousness from which the individual cannot be aroused.
  • LITHOTRIPSY-. the destruction of a calculus of the kidney ureter bladder or gallbladder by physical forces including crushing with a lithotriptor through a catheter. focused percutaneous ultrasound and focused hydraulic shock waves may be used without surgery. lithotripsy does not include the dissolving of stones by acids or litholysis. lithotripsy by laser is lithotripsy laser.
  • OSMOTIC PRESSURE-. the pressure required to prevent the passage of solvent through a semipermeable membrane that separates a pure solvent from a solution of the solvent and solute or that separates different concentrations of a solution. it is proportional to the osmolality of the solution.
  • RESPIRATORY DISTRESS SYNDROME ADULT-. a syndrome characterized by progressive life threatening respiratory insufficiency in the absence of known lung diseases usually following a systemic insult such as surgery or major trauma.
  • SHOCK-. a pathological condition manifested by failure to perfuse or oxygenate vital organs.
  • SHOCK CARDIOGENIC-. shock resulting from diminution of cardiac output in heart disease.
  • SHOCK HEMORRHAGIC-. acute hemorrhage or excessive fluid loss resulting in hypovolemia.
  • SHOCK SEPTIC-. sepsis associated with hypotension or hypoperfusion despite adequate fluid resuscitation. perfusion abnormalities may include but are not limited to lactic acidosis; oliguria; or acute alteration in mental status.
  • SHOCK SURGICAL-. a type of shock that occurs as a result of a surgical procedure.
  • SHOCK TRAUMATIC-. shock produced as a result of trauma.
  • STATUS ASTHMATICUS-. a sudden intense and continuous aggravation of a state of asthma marked by dyspnea to the point of exhaustion and collapse and not responding to the usual therapeutic efforts.
  • LITHOTRIPSY LASER-. fragmentation of calculi notably urinary or biliary by laser.
  • HEAT SHOCK RESPONSE-. a sequence of responses that occur when an organism is exposed to excessive heat. in humans an increase in skin temperature triggers muscle relaxation sweating and vasodilation.
  • HIGH ENERGY SHOCK WAVES-. high amplitude compression waves across which density pressure and particle velocity change drastically. the mechanical force from these shock waves can be used for mechanically disrupting tissues and deposits.
  • COLD SHOCK PROTEINS AND PEPTIDES-. cellular proteins and peptides that are induced in response to cold stress. they are found in a broad variety of prokaryotic and eukaryotic organisms.
  • COLD SHOCK RESPONSE-. a sequence of responses that occur when an organism is exposed to excessive cold. in humans a fall in skin temperature triggers gasping hypertension and hyperventilation.

Diagnostic Related Groups

The ICD-10 code R57.9 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC).
applicable from 10/01/2020 through 09/30/2020.

  • 222 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITH MCC
  • 223 - CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI/HF/SHOCK WITHOUT MCC

Convert R57.9 to ICD-9

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00–R99)
    • General symptoms and signs (R50-R69)
      • Shock, not elsewhere classified (R57)

Code History

  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
    (First year ICD-10-CM implemented into the HIPAA code set)
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

Information for Patients


Shock

Shock happens when not enough blood and oxygen can get to your organs and tissues. It causes very low blood pressure and may be life-threatening. It often happens along with a serious injury.

There are several kinds of shock. Hypovolemic shock happens when you lose a lot of blood or fluids. Causes include internal or external bleeding, dehydration, burns, and severe vomiting and/or diarrhea. Septic shock is caused by infections in the bloodstream. A severe allergic reaction can cause anaphylactic shock. An insect bite or sting might cause it. Cardiogenic shock happens when the heart cannot pump blood effectively. This may happen after a heart attack. Neurogenic shock is caused by damage to the nervous system.

Symptoms of shock include

  • Confusion or lack of alertness
  • Loss of consciousness
  • Sudden and ongoing rapid heartbeat
  • Sweating
  • Pale skin
  • A weak pulse
  • Rapid breathing
  • Decreased or no urine output
  • Cool hands and feet

Shock is a life-threatening medical emergency and it is important to get help right away. Treatment of shock depends on the cause.

NIH: National Heart, Lung, and Blood Institute


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