2023

  1. ICD-10-CM Codes
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  2. R00-R99
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  3. R50-R69
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  4. R57-
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  5. 2023 ICD-10-CM Diagnosis Code R57

2023 ICD-10-CM Diagnosis Code R57

Shock, not elsewhere classified

    2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
  • R57 should not be used for reimbursement purposes as there are multiple codes below it that contain a greater level of detail.
  • The 2023 edition of ICD-10-CM R57 became effective on October 1, 2022.
  • This is the American ICD-10-CM version of R57 - other international versions of ICD-10 R57 may differ.
Type 1 Excludes
Type 1 Excludes Help
A type 1 excludes note is a pure excludes. It means "not coded here". A type 1 excludes note indicates that the code excluded should never be used at the same time as R57. A type 1 excludes note is for used for when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • anaphylactic shock NOS (
    ICD-10-CM Diagnosis Code T78.2

    Anaphylactic shock, unspecified

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Allergic shock
    • Anaphylactic reaction
    • Anaphylaxis
    Type 1 Excludes
    • anaphylactic reaction or shock due to adverse effect of correct medicinal substance properly administered (T88.6)
    • anaphylactic reaction or shock due to adverse food reaction (T78.0-)
    • anaphylactic reaction or shock due to serum (T80.5-)
    T78.2
    )
  • anaphylactic reaction or shock due to adverse food reaction (
    ICD-10-CM Diagnosis Code T78.0

    Anaphylactic reaction due to food

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Anaphylactic reaction due to adverse food reaction
    • Anaphylactic shock or reaction due to nonpoisonous foods
    • Anaphylactoid reaction due to food
    T78.0-
    )
  • anaphylactic shock due to adverse effect of correct drug or medicament properly administered (
    ICD-10-CM Diagnosis Code T88.6

    Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
    • Anaphylactoid reaction NOS
    Type 1 Excludes
    • anaphylactic reaction due to serum (T80.5-)
    • anaphylactic shock or reaction due to adverse food reaction (T78.0-)
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T36-T50 with fifth or sixth character 5)
    T88.6
    )
  • anaphylactic shock due to serum (
    ICD-10-CM Diagnosis Code T80.5

    Anaphylactic reaction due to serum

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Allergic shock due to serum
    • Anaphylactic shock due to serum
    • Anaphylactoid reaction due to serum
    • Anaphylaxis due to serum
    Type 1 Excludes
    • ABO incompatibility reaction due to transfusion of blood or blood products (T80.3-)
    • allergic reaction or shock NOS (T78.2)
    • anaphylactic reaction or shock NOS (T78.2)
    • anaphylactic reaction or shock due to adverse effect of correct medicinal substance properly administered (T88.6)
    • other serum reaction (T80.6-)
    T80.5-
    )
  • electric shock (
    ICD-10-CM Diagnosis Code T75.4

    Electrocution

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Shock from electric current
    • Shock from electroshock gun (taser)
    T75.4
    )
  • obstetric shock (
    ICD-10-CM Diagnosis Code O75.1

    Shock during or following labor and delivery

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Obstetric shock following labor and delivery
    O75.1
    )
  • postprocedural shock (
    ICD-10-CM Diagnosis Code T81.1

    Postprocedural shock

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Shock during or resulting from a procedure, not elsewhere classified
    Type 1 Excludes
    • anaphylactic shock NOS (T78.2)
    • anaphylactic shock due to correct substance properly administered (T88.6)
    • anaphylactic shock due to serum (T80.5-)
    • electric shock (T75.4)
    • obstetric shock (O75.1)
    • septic shock (R65.21)
    • shock due to anesthesia (T88.2)
    • shock following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • traumatic shock (T79.4)
    T81.1-
    )
  • psychic shock (
    ICD-10-CM Diagnosis Code F43.0

    Acute stress reaction

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Applicable To
    • Acute crisis reaction
    • Acute reaction to stress
    • Combat and operational stress reaction
    • Combat fatigue
    • Crisis state
    • Psychic shock
    F43.0
    )
  • shock complicating or following ectopic or molar pregnancy (
    ICD-10-CM Diagnosis Code O00

    Ectopic pregnancy

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • ruptured ectopic pregnancy
    Use Additional
    • code from category O08 to identify any associated complication
    O00
    -
    ICD-10-CM Diagnosis Code O07

    Failed attempted termination of pregnancy

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Includes
    • failure of attempted induction of termination of pregnancy
    • incomplete elective abortion
    Type 1 Excludes
    • incomplete spontaneous abortion (O03.0-)
    O07
    ,
    ICD-10-CM Diagnosis Code O08.3

    Shock following ectopic and molar pregnancy

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code Maternity Dx (12-55 years) Female Dx
    Applicable To
    • Circulatory collapse following ectopic and molar pregnancy
    • Shock (postprocedural) following ectopic and molar pregnancy
    Type 1 Excludes
    • shock due to infection following ectopic and molar pregnancy (O08.82)
    O08.3
    )
  • shock due to anesthesia (
    ICD-10-CM Diagnosis Code T88.2

    Shock due to anesthesia

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • complications of anesthesia (in):
    • labor and delivery (O74.-)
    • pregnancy (O29.-)
    • puerperium (O89.-)
    • postprocedural shock NOS (T81.1-)
    Use Additional
    • code for adverse effect, if applicable, to identify drug (T41.- with fifth or sixth character 5)
    T88.2
    )
  • shock due to lightning (
    ICD-10-CM Diagnosis Code T75.01

    Shock due to being struck by lightning

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    T75.01
    )
  • traumatic shock (
    ICD-10-CM Diagnosis Code T79.4

    Traumatic shock

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Shock (immediate) (delayed) following injury
    Type 1 Excludes
    • anaphylactic shock due to adverse food reaction (T78.0-)
    • anaphylactic shock due to correct medicinal substance properly administered (T88.6)
    • anaphylactic shock due to serum (T80.5-)
    • anaphylactic shock NOS (T78.2)
    • electric shock (T75.4)
    • nontraumatic shock NEC (R57.-)
    • obstetric shock (O75.1)
    • postprocedural shock (T81.1-)
    • septic shock (R65.21)
    • shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • shock due to anesthesia (T88.2)
    • shock due to lightning (T75.01)
    • shock NOS (R57.9)
    T79.4
    )
  • toxic shock syndrome (
    ICD-10-CM Diagnosis Code A48.3

    Toxic shock syndrome

      2016 2017 2018 2019 2020 2021 2022 2023 Billable/Specific Code
    Type 1 Excludes
    Use Additional
    • code to identify the organism (B95, B96)
    A48.3
    )
The following code(s) above R57 contain annotation back-references
Annotation Back-References
In this context, annotation back-references refer to codes that contain:
  • Applicable To annotations, or
  • Code Also annotations, or
  • Code First annotations, or
  • Excludes1 annotations, or
  • Excludes2 annotations, or
  • Includes annotations, or
  • Note annotations, or
  • Use Additional annotations
that may be applicable to R57:
  • R00-R99
    2023 ICD-10-CM Range R00-R99

    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified

    Note
    • This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
    • Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
    • The conditions and signs or symptoms included in categories R00-R94 consist of:
    • (a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
    • (b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
    • (c) provisional diagnosis in a patient who failed to return for further investigation or care;
    • (d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
    • (e) cases in which a more precise diagnosis was not available for any other reason;
    • (f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
    Type 2 Excludes
    • abnormal findings on antenatal screening of mother (O28.-)
    • certain conditions originating in the perinatal period (P04-P96)
    • signs and symptoms classified in the body system chapters
    • signs and symptoms of breast (N63, N64.5)
    Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
Code History
  • 2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM)
  • 2017 (effective 10/1/2016): No change
  • 2018 (effective 10/1/2017): No change
  • 2019 (effective 10/1/2018): No change
  • 2020 (effective 10/1/2019): No change
  • 2021 (effective 10/1/2020): No change
  • 2022 (effective 10/1/2021): No change
  • 2023 (effective 10/1/2022): No change
Code annotations containing back-references to R57:
  • Type 1 Excludes: T79.4
    ICD-10-CM Diagnosis Code T79.4

    Traumatic shock

      2016 2017 2018 2019 2020 2021 2022 2023 Non-Billable/Non-Specific Code
    Applicable To
    • Shock (immediate) (delayed) following injury
    Type 1 Excludes
    • anaphylactic shock due to adverse food reaction (T78.0-)
    • anaphylactic shock due to correct medicinal substance properly administered (T88.6)
    • anaphylactic shock due to serum (T80.5-)
    • anaphylactic shock NOS (T78.2)
    • electric shock (T75.4)
    • nontraumatic shock NEC (R57.-)
    • obstetric shock (O75.1)
    • postprocedural shock (T81.1-)
    • septic shock (R65.21)
    • shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • shock due to anesthesia (T88.2)
    • shock due to lightning (T75.01)
    • shock NOS (R57.9)
ICD-10-CM Codes Adjacent To R57
R53.82 Chronic fatigue, unspecified
R53.83 Other fatigue
R54 Age-related physical debility
R55 Syncope and collapse
R56 Convulsions, not elsewhere classified
R56.0 Febrile convulsions
R56.00 Simple febrile convulsions
R56.01 Complex febrile convulsions
R56.1 Post traumatic seizures
R56.9 Unspecified convulsions
R57 Shock, not elsewhere classified
R57.0 Cardiogenic shock
R57.1 Hypovolemic shock
R57.8 Other shock
R57.9 Shock, unspecified
R58 Hemorrhage, not elsewhere classified
R59 Enlarged lymph nodes
R59.0 Localized enlarged lymph nodes
R59.1 Generalized enlarged lymph nodes
R59.9 Enlarged lymph nodes, unspecified
R60 Edema, not elsewhere classified

Reimbursement claims with a date of service on or after October 1, 2015 require the use of ICD-10-CM codes.

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