Hemorrhagic Shock ICD-10-CM Codes

What ICD-10 codes are used for hemorrhagic shock?

Hemorrhagic shock, a critical condition resulting from significant blood loss leading to inadequate tissue perfusion, is primarily classified under the following ICD-10-CM codes:

R57.1 – Hypovolemic shock

This is the most commonly used code for hemorrhagic shock, as it directly refers to shock caused by decreased blood volume. It's also relevant when the shock is a result of an adverse effect of a correct drug or medicament properly administered, obstetric shock, or shock due to adverse food reaction.

R57.8 – Other shock

This code applies when the shock doesn’t fit standard classifications like cardiogenic shock, septic shock, or anaphylactic shock due to serum or other causes. It covers less common shock presentations, including psychic shock, shock due to lightning, or shock NOS.

R58 – Hemorrhage, not elsewhere classified

While not a shock-specific code, R58 is useful when documenting significant bleeding that contributes to or results in shock. It may be used in conjunction with shock complicating or following ectopic or molar pregnancy or febrile convulsions associated with blood loss.

T79.4XXA – Traumatic shock, initial encounter

Use this for hemorrhagic shock resulting from trauma, such as blunt force injuries or penetrating wounds. It’s important when traumatic shock is the primary issue and may be used alongside codes for failure of peripheral circulation or systemic inflammatory response syndrome.

Which hemorrhagic shock ICD codes are billable?

Here's an overview of whether the ICD codes mentioned above are billable:

• R57.1: Yes, this code is billable, as it represents hypovolemic shock, a condition often resulting from significant blood loss.
• R57.8: Yes, this code is billable. It's used for various shock conditions, including hemorrhagic shock, when more specific codes aren't available.
• R58: Yes, this code is billable. It represents a hemorrhage not classified elsewhere but can be associated with hemorrhagic shock.
• T79.4XXA: Yes, this code is billable. It's used to denote a state of shock following trauma, including hemorrhagic shock.

Clinical information

Hemorrhagic shock is a critical condition that occurs when significant blood loss leads to inadequate oxygen delivery to vital organs. It is often caused by trauma, surgical complications, ectopic or molar pregnancy, gastrointestinal bleeding, or obstetric emergencies. It may also arise as a shock complicating or following conditions such as severe sepsis, anaphylactic reaction, or postprocedural shock.

Key clinical features:

• Hypotension, rapid heart rate, weak peripheral pulses
• Cold and clammy skin, altered mental status, and reduced urine output
• Failure of peripheral circulation, which can progress to multi-organ dysfunction

In some cases, systemic inflammatory response syndrome (SIRS) may develop due to poor perfusion, increasing the risk of septic shock or cardiogenic shock. If left untreated, shock can lead to irreversible organ damage or death.

Synonyms include

• Bleeding shock
• Shock due to hemorrhage
• Hemorrhagic circulatory collapse
• Blood loss shock
• Shock from blood loss