R57.0: Cardiogenic shock
R57.0 is a billable, specific ICD-10-CM code for cardiogenic shock. It is valid for submission on a claim.
Check R57.0 with the rest of the claim: free scrubberExcludes2: not included here, but may coexist
The excluded condition is not part of this code, but a patient can have both. You may code both.
- septic shock (R65.21)
Excludes1 inherited from the categories above R57.0
A category’s note binds every code beneath it.
Written on R57: Shock, not elsewhere classified
- 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-)
- 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 anesthesia (T88.2)
- shock due to lightning (T75.01)
- traumatic shock (T79.4)
- toxic shock syndrome (A48.3)
Other codes that can never be billed with R57.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
Risk adjustment
R57.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 213 Cardio-Respiratory Failure and Shock0.370 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
R57.0 is named in 19 Medicare coverage policies: 19 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52868Billing and Coding: Transesophageal Echocardiography (TEE)
- A53986Billing and Coding: Percutaneous Ventricular Assist Device
- A53988Billing and Coding: Percutaneous Ventricular Assist Device
- A56476Billing and Coding: Cardiac Radionuclide Imaging
Alphabetic index entries that lead here
- Collapse›cardiorespiratory
- Collapse›cardiovascular
- Shock›cardiogenic
Code history
Unchanged in every release from FY2024 to FY2027.