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2025 ICD-10-CM code R57.1

Hypovolemic shock is a life-threatening condition caused by significant blood or fluid loss, resulting in inadequate blood circulation and oxygen delivery to vital organs.

Accurate coding of hypovolemic shock requires identifying the underlying cause and choosing the appropriate codes to reflect the etiology and severity.The R57.1 code is for hypovolemic shock and does not encompass the diagnosis of the underlying cause of shock.

Medical necessity for treatment of hypovolemic shock is established by the presence of clinical signs and symptoms indicating inadequate tissue perfusion and potential organ damage due to significant blood or fluid loss. Treatment is considered medically necessary to stabilize the patient, prevent organ failure, and improve survival chances.

The clinical responsibility for managing hypovolemic shock involves rapid assessment, resuscitation, and treatment of the underlying cause. This includes immediate fluid replacement (crystalloids, colloids, blood products), monitoring vital signs, addressing any ongoing bleeding, and providing supportive care as needed.Depending on the severity, this may involve emergency surgery or critical care intervention.

IMPORTANT:This code should not be used if a more specific diagnosis is available.Consider other codes based on the underlying cause of the shock, such as codes for specific injuries, gastrointestinal bleeding, or other conditions leading to fluid loss.

In simple words: Hypovolemic shock is a serious condition where you lose so much blood or fluid that your heart can't pump enough blood to your organs. This lack of blood flow can cause organs to stop working properly, and it's a medical emergency needing immediate treatment.

Hypovolemic shock represents a critical medical emergency characterized by insufficient circulating blood volume to meet the body's oxygen demands. This results from a substantial loss of blood (hemorrhagic shock) or other fluids (non-hemorrhagic shock), leading to inadequate tissue perfusion and potential organ failure.The condition is characterized by a cascade of physiological responses aimed at maintaining blood pressure, including increased heart rate, peripheral vasoconstriction, and reduced urine output. If left untreated, hypovolemic shock can lead to irreversible organ damage and death.

Example 1: A patient involved in a motor vehicle accident presents with severe bleeding from multiple injuries.The patient is exhibiting signs of hypovolemic shock including tachycardia, hypotension, and altered mental status. Immediate fluid resuscitation and surgical intervention are required., A patient with a history of gastrointestinal bleeding experiences a severe episode resulting in significant blood loss. They present with symptoms of hypovolemic shock, including pallor, clammy skin, and decreased urine output.Endoscopy and blood transfusion are necessary for management., A postpartum patient develops severe postpartum hemorrhage after delivery. She demonstrates signs of hypovolemic shock, including hypotension and tachycardia.Treatment includes fluid resuscitation, uterotonic medications, and potentially surgical intervention.

Complete documentation should include the patient's history, physical examination findings, vital signs (heart rate, blood pressure, respiratory rate, oxygen saturation), laboratory results (complete blood count, blood type and cross-match, electrolytes, coagulation studies), and imaging studies (as clinically indicated). Detailed description of the underlying cause of the hypovolemia (e.g., trauma, hemorrhage, burns, dehydration), the treatment provided, and the patient's response to therapy must also be documented.

** This code should only be used when a more precise diagnosis is unavailable.Always code the underlying cause of the hypovolemic shock in addition to this code.

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