Is R57.1 a billable ICD-10-CM code?

Yes. R57.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.

Where does R57.1 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block General symptoms and signs (R50-R69).

What cannot be coded together with R57.1?

R57.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R57.1 (R57) and apply to it just the same.

R57.1

R57.1 — Hypovolemic shock

Billable / specific codeICD-10-CM

R57.1 is a billable, specific ICD-10-CM code for hypovolemic shock. It is valid for submission on a claim.

Excludes1 inherited from the categories above R57.1

These are not written on R57.1, but they bind it: a note on a category applies to every code beneath it. Billing R57.1 with anything listed here is a denial.

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 R57.1

These codes carry an Excludes1 note pointing at R57.1. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R57.1 alone.

T79.4Traumatic shock
T79.4XXATraumatic shock, initial encounter
T79.4XXDTraumatic shock, subsequent encounter
T79.4XXSTraumatic shock, sequela

Risk adjustment

R57.1 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:

HCC 2 Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock0.500 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.

Medicare coverage

R57.1 is named in 13 Medicare coverage policies — 13 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.

A52868Billing and Coding: Transesophageal Echocardiography (TEE)
A56500Billing and Coding: Cardiac Catheterization and Coronary Angiography
A56505Billing and Coding: Transesophageal Echocardiography (TEE)
A56625Billing and Coding: Echocardiography

How R57.1 is indexed

Coders do not find codes by browsing the tabular list — they look them up in the alphabetic index, under the word the physician wrote. These are the index entries that lead here, so you can see which chart wordings map to R57.1.

Shock›hypovolemic

Code history

R57.1 has not changed since FY2024 — no addition, revision or deletion across the three most recent ICD-10-CM releases.

Related codes at this level

Codes that share R57. If R57.1 is not quite right, the correct code is usually one of these.

Questions about R57.1

Is R57.1 a billable ICD-10-CM code?: Yes. R57.1 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
Where does R57.1 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block General symptoms and signs (R50-R69).
What cannot be coded together with R57.1?: R57.1 carries Excludes1 notes, which means the conditions they list can never be coded together with it on the same encounter. Some are written on the categories above R57.1 (R57) and apply to it just the same.