2018/2019 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.
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 v38.0):
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
Cardiogenic shock. 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 code R57. 9 for Shock, unspecified is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10-CM Code for Other shock R57. 8.
ICD-10 Code for Liver disease, unspecified- K76. 9- Codify by AAPC.
Injury, unspecified ICD-10-CM T14. 90XA is grouped within Diagnostic Related Group(s) (MS-DRG v39.0): 913 Traumatic injury with mcc. 914 Traumatic injury without mcc.
The main types of shock include: Cardiogenic shock (due to heart problems) Hypovolemic shock (caused by too little blood volume) Anaphylactic shock (caused by allergic reaction)
Shock, not elsewhere classified A life-threatening condition that requires immediate medical intervention. It is characterized by reduced blood flow that may result in damage of multiple organs.
ICD-10 code Z51. 11 for Encounter for antineoplastic chemotherapy is a medical classification as listed by WHO under the range - Factors influencing health status and contact with health services .
K74. 60 Unspecified cirrhosis of liver - ICD-10-CM Diagnosis Codes.
ICD-10 code R65. 21 for Severe sepsis with septic shock is a medical classification as listed by WHO under the range - Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified .
ICD-10 code T14. 90XA for Injury, unspecified, initial encounter is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
- F43.12 (post-traumatic stress disorder, chronic)
Code F43. 23 is the diagnosis code used for Adjustment Disorder (AD) with Mixed Anxiety and Depressed Mood. It is sometimes known as situational depression.
T07.XXXAT07. XXXA - Unspecified multiple injuries [initial encounter] | ICD-10-CM.
The injury diagnosis codes (or nature of injury codes) are the ICD codes used to classify injuries by body region (for example, head, leg, chest) and nature of injury (for example, fracture, laceration, solid organ injury, poisoning).
External cause codes identify the cause of an injury or health condition, the intent (accidental or intentional), the place where the incident occurred, the activity of the patient at the time of the incident, and the patient's status (such as civilian or military).
V89.2XXAICD-10 code V89. 2XXA for Person injured in unspecified motor-vehicle accident, traffic, initial encounter is a medical classification as listed by WHO under the range - Transport accidents .
223 Cardiac defibrillator implant with cardiac catheterization with ami, hf or shock without mcc
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.
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.
The 2022 edition of ICD-10-CM R57.0 became effective on October 1, 2021.
Due to the necrosis that occurs from lack of blood supply, this is where we would start, resulting in the code K72.00, acute and subacute hepatic failure without coma, an MCC. The fifth digit indicates with or without coma.
The MS-DRG would be 871 septicemia or severe sepsis w/o MV >96 hours w/ MCC. The relative weight would be 1.7926, LOS 5.0, SOI 2, and ROM 3. If the physician responded with the answer of acute or subacute liver necrosis due to severe sepsis and hypotension (K72.00, MCC), the RW and LOS would not change. However, the SOI would increase from 2 to 3 and the ROM from 3 to 4.
Criteria for the diagnosis would include latency of less than 14 days, sudden onset of symptoms, alanine aminotransferase (ALT) of more than 20 times the upper limits of normal, alkaline phosphatase (ALP) that are normal or less than two times ULN, bilirubin of less than 10 mg/dL at time of diagnosis, and acute injury/dysfunction of other organ systems (lungs, kidneys, bone marrow, etc.). If liver biopsy is taken, changes of acute zone 3 coagulative necrosis with scant lobular lymphocytic infiltration, little or no fibrosis or cholestasis, and no veno-occlusive changes may be present.
An elevation in the ALT of 400-800 U/L may be considered probable as well. The levels will steadily return to normal levels in about 7-10 days. Outcome will be determined in part by the severity of liver dysfunction and the etiology and severity of the underlying cause.
These patients may report right upper quadrant pain, which could indicate a potential thrombus. The patient may report feeling weak and lightheaded or may have nausea and vomiting, anorexia, or malaise. The liver may be enlarged and tender, other symptoms that tend to reflect the underlying cause.
Shock liver, also known as ischemic hepatitis, is used to describe a syndrome that occurs after a period of significant hypovolemia and/or hypotension. Perfusion to the liver is impaired, resulting in damage to the liver cells, and this is reflected in rapid elevation of transaminases. Other elevated lab values may be LDH, serum creatinine, BUN, ...
Treatment will be focused on the underlying cause of the ischemia and would include intravenous hydration, possible antibiotics (in the case of sepsis), monitoring of mechanical ventilation, catecholamines, and metabolic monitoring. Ischemic hepatitis usually resolves with treatment of the underlying cause.