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ICD-10 Guide
ICD-10 CodesR57.1

R57.1

Hypovolemic shock

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/11/2025

Code Description

ICD-10 R57.1 is a billable code used to indicate a diagnosis of hypovolemic shock.

Key Diagnostic Point:

Hypovolemic shock is a critical condition resulting from a significant reduction in blood volume, leading to inadequate perfusion of tissues and organs. This state can arise from various causes, including severe hemorrhage, dehydration, or fluid loss due to burns or severe vomiting. Clinically, patients may present with symptoms such as rapid heartbeat (tachycardia), low blood pressure (hypotension), cold and clammy skin, confusion, and decreased urine output. Laboratory findings may reveal elevated lactate levels, indicating tissue hypoxia, and metabolic acidosis. The diagnosis of hypovolemic shock is often made based on clinical presentation and corroborated by laboratory tests that assess organ function and perfusion status. Early recognition and treatment are crucial to prevent progression to multi-organ failure and death.

Code Complexity Analysis

Complexity Rating: Medium

Medium Complexity

Complexity Factors

  • Variety of underlying causes (e.g., trauma, dehydration)
  • Need for comprehensive clinical documentation
  • Differentiation from other types of shock (e.g., cardiogenic, septic)
  • Potential for rapid clinical deterioration requiring immediate intervention

Audit Risk Factors

  • Inadequate documentation of the cause of hypovolemic shock
  • Failure to document vital signs and clinical findings
  • Misclassification of shock type
  • Lack of clear treatment plans or interventions documented

Specialty Focus

Medical Specialties

Internal Medicine

Documentation Requirements

Detailed history and physical examination, including vital signs and laboratory results.

Common Clinical Scenarios

Patients presenting with dehydration or gastrointestinal bleeding.

Billing Considerations

Ensure documentation reflects the severity and cause of shock for accurate coding.

Emergency Medicine

Documentation Requirements

Immediate assessment findings, interventions performed, and response to treatment.

Common Clinical Scenarios

Acute trauma cases or patients with severe dehydration.

Billing Considerations

Rapid documentation is essential; ensure all vital signs and interventions are recorded promptly.

Coding Guidelines

Inclusion Criteria

Use R57.1 When
  • Follow official ICD
  • CM coding guidelines, ensuring that the code is used only when hypovolemic shock is clearly documented and supported by clinical findings

Exclusion Criteria

Do NOT use R57.1 When
No specific exclusions found.

Related CPT Codes

99285CPT Code

Emergency department visit, high severity

Clinical Scenario

Used when a patient presents with hypovolemic shock requiring immediate intervention.

Documentation Requirements

Document the severity of the condition and interventions performed.

Specialty Considerations

Emergency medicine documentation must reflect the urgency and complexity of care.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of hypovolemic shock, improving the accuracy of data collection and reimbursement processes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of hypovolemic shock, improving the accuracy of data collection and reimbursement processes.

Reimbursement & Billing Impact

reimbursement processes.

Resources

Clinical References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What are the common causes of hypovolemic shock?

Common causes include trauma leading to hemorrhage, severe dehydration from vomiting or diarrhea, and fluid loss due to burns.

How is hypovolemic shock diagnosed?

Diagnosis is based on clinical signs such as hypotension and tachycardia, along with laboratory findings like elevated lactate levels.