Cardiogenic Shock

Legacy Content

This page is about the pre-ICD10 diagnosis coding schema. See the ICD10 Diagnosis List, or the following for similar diagnoses in ICD10:Shock, cardiogenic

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Category/Organ System:	Category: Cardiogenic Shock (old)
Type:
Main Diagnosis:	101-**
Sub Diagnosis:	Critical Care and Medicine
Diagnosis Code:	Currently Collected
Comorbid Diagnosis:
Charlson Comorbid coding (pre ICD10):
Program:
Status:

Definition

• Definite pulmonary edema
• CI < 2.2
• PWP > 20
• Anion gap metabolic acidosis would qualify even if CI is not available. (NA – CL + SERUM CO2 OR HCO3) (ABNORMAL IF > 12 + PH < 7.23)
• Requiring inotropic support

Possible Subcodes

1. MYOCARDIAL INFARCTION

2. CARDIOMYOPATHY

3. POISONING / CYTOTOXIC AGENTS

4. VALVULAR DISEASE

5. POST OPERATIVE

6. ETIOLOGY UNKNOWN

8. IATROGENIC DRUG INDUCED

90. OTHER

Discussion

• subdx 7 had nothing listed behind it so I did not include it here. Did we use to use it? if so, we should list it under a legacy section in this article.

Ttenbergen 11:26, 5 June 2008 (CDT)

• • Medicine shouldn't have the diagnosis of cardiogenic shock since we don't have the SG cath and we don't run inotropes.GHall 16:37, 25 June 2008 (CDT)
    • I guess it could be an acquired diagnosis if you had an ion gap measured and they started inotropes on the ward before admission to ICU?GHall 17:15, 25 June 2008 (CDT)