2025 ICD-10-CM code R57.0
(Active) Effective Date: N/A Revision Date: N/A Symptoms, signs, and abnormal clinical and laboratory findings - General symptoms and signs Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Cardiogenic shock is a life-threatening condition where the heart cannot pump enough blood to meet the body's needs.
Modifiers may be applicable depending on the circumstances of service and procedures performed (e.g., -25, -59).
Medical necessity for treatment of cardiogenic shock is established by the presence of clinical manifestations of decreased cardiac output and end-organ hypoperfusion, along with documentation of the underlying cardiac etiology. Treatment decisions are based on the severity of the shock and the individual patient's response to therapy.
The clinical responsibility involves prompt diagnosis and treatment of cardiogenic shock, including assessment of hemodynamic parameters, identification and management of the underlying cardiac cause (e.g., myocardial infarction, valvular disease), and provision of supportive care with inotropes, vasopressors, and mechanical circulatory support as needed.
- Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R57 Shock, not elsewhere classified
In simple words: Cardiogenic shock means your heart isn't pumping enough blood to your body. This is a very serious problem that can lead to organ damage and even death. It often happens after a heart attack or if you have a serious heart valve problem. Doctors treat it by fixing the heart problem and giving medicine to help the heart pump better.
Cardiogenic shock (CS) is a critical condition characterized by the heart's inability to pump sufficient blood to meet the body's metabolic demands. This leads to inadequate tissue perfusion, resulting in organ dysfunction and potentially death.CS typically arises from severe myocardial dysfunction, often secondary to acute myocardial infarction (AMI), severe valvular heart disease, or other conditions compromising cardiac contractility.The pathophysiology involves decreased cardiac output and hypotension, triggering compensatory mechanisms such as increased systemic vascular resistance, which can further impair cardiac function. Systemic inflammation may also contribute.Clinical presentation includes hypotension, tachycardia, cool extremities, and signs of organ hypoperfusion. Treatment is urgent and involves addressing the underlying cause (e.g., revascularization, valvular repair) while supporting circulatory function with inotropes, vasopressors, and potentially mechanical circulatory support like an intra-aortic balloon pump or extracorporeal membrane oxygenation (ECMO).
Example 1: A 65-year-old male presents to the ED with chest pain, hypotension, and cool, clammy skin following an acute myocardial infarction. He is diagnosed with cardiogenic shock and requires immediate treatment with inotropes, vasopressors, and possible PCI., A 72-year-old female with severe mitral regurgitation develops cardiogenic shock after a period of worsening heart failure.She requires urgent surgical intervention for valve repair or replacement., A 48-year-old male post-cardiac surgery experiences sudden hypotension and decreased cardiac output.He is diagnosed with cardiogenic shock and requires intubation, inotropic support, and ECMO.
Detailed history and physical examination, ECG, cardiac enzymes, echocardiogram, hemodynamic monitoring (CVP, PA pressures, cardiac index), arterial blood gases, and relevant laboratory tests to assess organ function.Documentation of treatment administered (inotropes, vasopressors, mechanical circulatory support), response to treatment, and patient outcome.
** Cardiogenic shock is a time-sensitive emergency.Accurate coding requires comprehensive documentation of the clinical presentation, diagnostic findings, and treatment provided.
- Payment Status: Active
- Specialties:Cardiology, Critical Care Medicine
- Place of Service:Inpatient Hospital, Emergency Room - Hospital, Intensive Care Unit