2019 ICD-10-CM Diagnosis Code R57.0

Cardiogenic shock

    2016 2017 2018 2019 Billable/Specific Code
  • R57.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
  • The 2019 edition of ICD-10-CM R57.0 became effective on October 1, 2018.
  • This is the American ICD-10-CM version of R57.0 - other international versions of ICD-10 R57.0 may differ.
Type 2 Excludes
Type 2 Excludes Help
A type 2 excludes note represents "not included here". A type 2 excludes note indicates that the condition excluded is not part of the condition it is excluded from but a patient may have both conditions at the same time. When a type 2 excludes note appears under a code it is acceptable to use both the code (R57.0) and the excluded code together.
  • septic shock (
    ICD-10-CM Diagnosis Code R65.21

    Severe sepsis with septic shock

      2016 2017 2018 2019 Billable/Specific Code
    R65.21
    )
The following code(s) above R57.0 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 R57.0:
  • R00-R99
    2019 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
  • R57
    ICD-10-CM Diagnosis Code R57

    Shock, not elsewhere classified

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • anaphylactic shock NOS (T78.2)
    • anaphylactic reaction or shock due to adverse food reaction (T78.0-)
    • anaphylactic shock due to adverse effect of correct drug or medicament properly administered (T88.6)
    • anaphylactic shock due to serum (T80.5-)
    • anesthetic shock (T88.3)
    • electric shock (T75.4)
    • obstetric shock (O75.1)
    • postprocedural shock (T81.1-)
    • psychic shock (F43.0)
    • shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)
    • shock due to lightning (T75.01)
    • traumatic shock (T79.4)
    • toxic shock syndrome (A48.3)
    Shock, not elsewhere classified
Clinical Information
  • Shock resulting from diminution of cardiac output in heart disease.
  • Shock resulting from primary failure of the heart in its pumping function, as in myocardial infarction, severe cardiomyopathy, or mechanical obstruction or compression of the heart.
  • Shock reulting from the failure of the heart to maintain adequate output.
ICD-10-CM R57.0 is grouped within Diagnostic Related Group(s) (MS-DRG v36.0):
  • 222 Cardiac defibrillator implant with cardiac catheterization with ami/hf/shock with mcc
  • 223 Cardiac defibrillator implant with cardiac catheterization with ami/hf/shock without mcc
  • 224 Cardiac defibrillator implant with cardiac catheterization without ami/hf/shock with mcc
  • 225 Cardiac defibrillator implant with cardiac catheterization without ami/hf/shock without mcc
  • 226 Cardiac defibrillator implant without cardiac catheterization with mcc
  • 227 Cardiac defibrillator implant without cardiac catheterization without mcc
  • 291 Heart failure and shock with mcc or peripheral extracorporeal membrane oxygenation (ecmo)
  • 292 Heart failure and shock with cc
  • 293 Heart failure and shock without cc/mcc

Convert R57.0 to ICD-9-CM

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
Code annotations containing back-references to R57.0:
  • Code Also: I21.A1
    ICD-10-CM Diagnosis Code I21.A1

    Myocardial infarction type 2

      2018 - New Code 2019 Billable/Specific Code
    Applicable To
    • Myocardial infarction due to demand ischemia
    • Myocardial infarction secondary to ischemic imbalance
    Code Also
  • Type 1 Excludes: R55
    , I46
    ICD-10-CM Diagnosis Code R55

    Syncope and collapse

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Blackout
    • Fainting
    • Vasovagal attack
    Type 1 Excludes
    • cardiogenic shock (R57.0)
    • carotid sinus syncope (G90.01)
    • heat syncope (T67.1)
    • neurocirculatory asthenia (F45.8)
    • neurogenic orthostatic hypotension (G90.3)
    • orthostatic hypotension (I95.1)
    • postprocedural shock (T81.1-)
    • psychogenic syncope (F48.8)
    • shock NOS (R57.9)
    • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • shock complicating or following labor and delivery (O75.1)
    • Stokes-Adams attack (I45.9)
    • unconsciousness NOS (R40.2-)
    ICD-10-CM Diagnosis Code I46

    Cardiac arrest

      2016 2017 2018 2019 Non-Billable/Non-Specific Code
    Type 1 Excludes
    • cardiogenic shock (R57.0)

Diagnosis Index entries containing back-references to R57.0:
  • Collapse R55
    ICD-10-CM Diagnosis Code R55

    Syncope and collapse

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Blackout
    • Fainting
    • Vasovagal attack
    Type 1 Excludes
    • cardiogenic shock (R57.0)
    • carotid sinus syncope (G90.01)
    • heat syncope (T67.1)
    • neurocirculatory asthenia (F45.8)
    • neurogenic orthostatic hypotension (G90.3)
    • orthostatic hypotension (I95.1)
    • postprocedural shock (T81.1-)
    • psychogenic syncope (F48.8)
    • shock NOS (R57.9)
    • shock complicating or following abortion or ectopic or molar pregnancy (O00-O07, O08.3)
    • shock complicating or following labor and delivery (O75.1)
    • Stokes-Adams attack (I45.9)
    • unconsciousness NOS (R40.2-)
  • Shock R57.9
    ICD-10-CM Diagnosis Code R57.9

    Shock, unspecified

      2016 2017 2018 2019 Billable/Specific Code
    Applicable To
    • Failure of peripheral circulation NOS
    • cardiogenic R57.0

ICD-10-CM Codes Adjacent To R57.0
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
R60.0 Localized edema

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