2025 ICD-10-CM code R57.8
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Symptoms, signs, and abnormal clinical and laboratory findings - General symptoms and signs Chapter 17: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99) Feed
Other shock, not specified elsewhere.
Modifiers may be applicable depending on the circumstances of the encounter and the services provided.Refer to the official modifier guidelines for additional information.
Medical necessity for coding R57.8 is established by the presence of clinical findings consistent with shock and the absence of a more specific diagnosis.Further diagnostic evaluation to determine the underlying cause of the shock is typically medically necessary.
The clinical responsibility for coding R57.8 rests upon accurate documentation of the patient's clinical presentation.The physician must document the presence of shock. The coder is responsible for selecting the most specific code possible based on the available documentation.If the type of shock cannot be specified, then R57.8 is the appropriate choice.
- Chapter 17: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)
- R57: Shock, not elsewhere classified
In simple words: This code is for when someone is in shock but the doctor doesn't know what kind of shock it is.
This code is used to classify instances of shock that do not fit into the more specific categories of shock (e.g., hypovolemic, septic, cardiogenic) within the ICD-10-CM classification system.It is a residual category for unspecified or other types of shock.Documentation must clearly indicate the presence of shock without specifying the precise type.
Example 1: A patient presents to the emergency room with hypotension, tachycardia, and altered mental status. The initial assessment suggests shock, but the underlying cause is not immediately apparent.R57.8 would be coded pending further investigation., A patient is admitted following a gastrointestinal bleed. They present with signs of hypovolemic shock but the physician has not documented hypovolemic shock. R57.8 is used, and a query should be sent to the physician to clarify the type of shock experienced., A patient presents with symptoms consistent with shock, but after thorough evaluation, no clear cause is identified. This situation warrants the use of R57.8.
Detailed documentation of vital signs (blood pressure, heart rate, respiratory rate), clinical findings (level of consciousness, skin perfusion, urine output), laboratory results (hemoglobin, hematocrit, electrolytes), and any suspected underlying causes of shock are required for proper coding.The physician should specify the type of shock if possible.
** This code represents a broad category.Thorough documentation is crucial for accurate coding and reimbursement.
- Payment Status: Active
- Specialties:Emergency Medicine, Critical Care, Internal Medicine, Surgery
- Place of Service:Emergency Room - Hospital, Inpatient Hospital, Outpatient Hospital, Office