2026 ICD-10-CM Diagnosis Code T79.4XXATraumatic shock, initial encounter
T79.4XXA is a billable ICD-10-CM diagnosis code for traumatic shock, initial encounter. The 7th character A marks it as an initial encounter code, used while the patient is receiving active treatment. It is valid on HIPAA claims for fiscal year 2026 (October 1, 2025 through September 30, 2026) and groups to MS-DRG 922 through 923, 963 through 965. Coders also document this condition as burn shock. In AHRQ's Clinical Classifications Software (CCSR), this diagnosis falls under Other specified injury.
Code Identity
Code Classification
Approximate SynonymsGuidance
Alternate terms and clinical phrases that map to this code.
- Burn shock
- Traumatic shock
Coding GuidelinesGuidance
The appropriate 7th character is to be added to each code from block Certain early complications of trauma, not elsewhere classified (T79). Use the following options for the applicable episode of care:
- A - initial encounter
- D - subsequent encounter
- S - sequela
Source: ICD-10-CM Official Guidelines for Coding and Reporting, FY 2026, published by CMS and the National Center for Health Statistics.
Clinical ClassificationClinical
AHRQ’s CCSR groups this code into broader clinical categories.
Clinical InformationClinical
Traumatic Shock
any shock produced by trauma.
Patient EducationClinical
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.
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Convert T79.4XXA to ICD-9-CMHistory
The closest ICD-9-CM equivalents under the General Equivalence Mappings.
Code HistoryHistory
Questions About T79.4XXAOverview
Is T79.4XXA (Traumatic shock) a billable code?
Yes. This is a billable ICD-10-CM code, specific enough to report traumatic shock, initial encounter on HIPAA-covered claims from October 1, 2025 through September 30, 2026.
What does the 7th character A in T79.4XXA mean?
The final character A marks the initial encounter: use it while the patient is receiving active treatment for traumatic shock, such as an emergency visit or first evaluation.
What MS-DRG does T79.4XXA group to?
When traumatic shock, initial encounter is the principal diagnosis on an inpatient stay, it groups to MS-DRG 922, 923, 963, 964, 965, with relative weights from 0.9405 to 2.7338 depending on complications. Higher weights mean higher Medicare reimbursement.
What is the ICD-9 equivalent of T79.4XXA?
Under the General Equivalence Mappings, traumatic shock, initial encounter converts to ICD-9-CM 958.4 (traumatic shock). The mapping is approximate, so confirm the match fits the documentation.
Footnotes
[1] Not chronic - A diagnosis code that does not fit the criteria for chronic condition (duration, ongoing medical treatment, and limitations) is considered not chronic. Some codes designated as not chronic are acute conditions. Other diagnosis codes that indicate a possible chronic condition, but for which the duration of the illness is not specified in the code description (i.e., we do not know the condition has lasted 12 months or longer) also are considered not chronic.
