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ICD-10 Coding for Hemorrhagic Shock(R57.1, T79.4XXA)

Complete ICD-10-CM coding and documentation guide for Hemorrhagic Shock. Includes clinical validation requirements, documentation requirements, and coding pitfalls.

Also known as:

Hypovolemic ShockTraumatic Shockbleeding shock

Related ICD-10 Code Ranges

Complete code families applicable to Hemorrhagic Shock

R57.0-R57.9Primary Range

Shock, not elsewhere classified

This range includes codes for different types of shock, with R57.1 specifically for hypovolemic shock, which encompasses hemorrhagic shock.

Traumatic shock

This range is used when shock is directly related to trauma, such as injuries resulting in significant blood loss.

Code Comparison: When to Use Each Code

Compare key differences between these codes to ensure accurate selection

CodeDescriptionWhen to UseKey Documentation
R57.1Hypovolemic shockUse when shock is due to significant blood loss from non-traumatic causes.
  • SBP <90 mmHg
  • HR >120 bpm
  • Lactate >4 mmol/L
  • + 1 more
T79.4XXATraumatic shock, initial encounterUse when shock results from traumatic injuries.
  • Shock index (HR/SBP) >1.0
  • Blood loss from trauma

Clinical Decision Support

Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.

Key Information: ICD-10 code for hemorrhagic shock

Essential facts and insights about Hemorrhagic Shock

The ICD-10 code for hemorrhagic shock is R57.1, used for hypovolemic shock due to blood loss.

Primary ICD-10-CM Codes for hemorrhagic shock

Hypovolemic shock
Billable Code

Decision Criteria

clinical Criteria

  • Presence of significant blood loss with hemodynamic instability.

documentation Criteria

  • Explicit mention of 'hemorrhagic shock' with source of bleeding.

Applicable To

  • Hemorrhagic shock

Excludes

Clinical Validation Requirements

  • SBP <90 mmHg
  • HR >120 bpm
  • Lactate >4 mmol/L
  • Hgb <7 g/dL with active bleeding

Code-Specific Risks

  • Incorrect use without specifying the source of hemorrhage.

Coding Notes

  • Ensure documentation clearly links shock to the specific cause of hemorrhage.

Ancillary Codes

Additional codes that should be used in conjunction with the main diagnosis codes when applicable.

Traumatic shock

T79.4XXA
Use when shock is directly related to trauma, such as a gunshot wound.

Other shock

R57.8
Use when the type of shock is unspecified.

Differential Codes

Alternative codes to consider when ruling out similar conditions to the primary diagnosis.

Other shock

R57.8
Use when the type of shock is unspecified or not clearly documented as hypovolemic.

Hypovolemic shock

R57.1
Use R57.1 for non-traumatic causes of hemorrhagic shock.

Documentation & Coding Risks

Avoid these common documentation and coding issues when documenting Hemorrhagic Shock to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R57.1.

Impact

Clinical: May lead to inappropriate treatment., Regulatory: Non-compliance with coding standards., Financial: Potential loss of reimbursement.

Mitigation Strategy

Ensure documentation specifies 'hemorrhagic shock'., Include source of hemorrhage.

Impact

Reimbursement: May result in lower DRG payment., Compliance: Non-compliance with coding guidelines., Data Quality: Inaccurate clinical data representation.

Mitigation Strategy

Always code the underlying cause of hemorrhage, such as a GI bleed.

Impact

Inadequate documentation of shock type can lead to audit issues.

Mitigation Strategy

Implement documentation templates that require specification of shock type and cause.

Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.

Frequently Asked Questions

Common questions about ICD-10 coding for Hemorrhagic Shock, with expert answers to help guide accurate code selection and documentation.

Documentation Templates for Hemorrhagic Shock

Use these documentation templates to ensure complete and accurate documentation for Hemorrhagic Shock. These templates include all required elements for proper coding and billing.

Emergency Department Presentation

Specialty: Emergency Medicine

Required Elements

  • Chief complaint and history of present illness
  • Vital signs and hemodynamic status
  • Laboratory and imaging results
  • Assessment and plan

Example Documentation

Patient presents with acute GI bleed, hematemesis, HR 120, SBP 90/60, lactate 4.2 mmol/L.

Examples: Poor vs. Good Documentation

Poor Documentation Example
Patient in shock.
Good Documentation Example
Hemorrhagic shock due to upper GI bleed, Hgb 6.2 g/dL, lactate 5.8 mmol/L, requiring 4U PRBCs.
Explanation
The good example specifies the cause of shock and includes critical lab values.

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