Shock, cardiogenic

ICD10 Diagnosis
Dx:	Shock, cardiogenic
ICD10 code:	R57.0
Pre-ICD10 counterpart:	Cardiogenic Shock
Charlson/ALERT Scale:	none
APACHE Como Component:	none
APACHE Acute Component:	2019-0: Cardiogenic Shock
Start Date:
Stop Date:
Data Dependencies(Reports/Indicators/Data Elements):	No results
External ICD10 Documentation	ICD-10 CM Wikipedia ICD-10 Wikipedia WHO ICD10 documentation ICD10data.com

This diagnosis is a part of ICD10 collection.

• SMW
  • 2019-01-01
  • 2999-12-31
  • R57.0

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Additional Info

ICU

• These are meant to be criteria to consider in cardiogenic shock. It is understood that not all patients will fall nicely into all listed criteria. Remember, use your judgement.

1. the patient is in shock -- i.e. substantial absolute or relative hypotension and/or other evidence of systemic hypoperfusion (such as elevated serum lactate).
2. there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.
3. parameters to consider for diagnosis of cardiogenic shock:
   • Definite pulmonary edema
   • May require ventilation for pulmonary edema.
   • May require IABP
   • CI < 2.2
   • PWP > 20
   • Requiring inotropic support
   • Ejection fraction <35%
   • Current diagnosis of ACS or cardiomyopathy
   • Current diagnosis of severe cardiac valve disease.

Medicine ward

• Is not normally managed on a medicine ward therefore we would not see it as an admitting diagnosis. Cardiogenic shock can be a complication that occurs on a medicine ward which usually requires a transfer to the ICU unless the patient receives palliative care or dies before being sent to the ICU.

Repeated events

If this happens repeatedly during the same ward or unit stay, only code it the first time it happens, regardless of whether it is an Admit Diagnosis or Acquired Diagnosis, rather than each time it happens. See ICD10 codes only coded the first time for other diagnoses coded this way.

Example:

A person has a self-limited episode of A-fib. It goes away and then recurs. Only code the first one. A person has a self-limited episode of A-fib. It goes away but then he has an episode of V-tach. As this is a different diagnosis, both of these should be listed, but only code once each. Patient comes in with hypokalemia. It’s treated and remits, but the next day it recurs. Only code the first time.

Alternate ICD10s to consider coding instead or in addition

• Dehydration (volume depletion, hypovolemia)
• Anaphylactic reaction (anaphylaxis)

Candidate Combined ICD10 codes

• Also code the cause, e.g. AMI, valvular disease, etc.

Related CCI Codes

Data Integrity Checks (automatic list)

none found

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ICD10 Categories: ANCA-associated Vasculitis (AAV), Abdominal trauma, Abortion, Acute intoxication, Addiction, Adrenal Insufficiency, Adverse effect, Alcohol related, Allergy, Anemia, Anesthetic related, Aneurysm, Antibiotic resistance, Antidepressant related, Aortic Aneurysm, Arrhythmia, Arterial thromboembolism, Asthma, Atherosclerosis, Awaiting/delayed transfer, Bacteria, Benign neoplasm, Breast disease, Burn, COVID, Cannabis related, Cardiac septum problem, Cardiovascular, Cerebral Hemorrhage/Stroke, Chemical burn, Chronic kidney disease, Cirrhosis, Cocaine related, Decubitus Deep Tissue Damage, Decubitus Stage 1, Decubitus Stage 2, Decubitus Stage 3, Decubitus Stage 4, Decubitus Stage Not Indicated, Decubitus Stage not indicated, Decubitus heel, Decubitus other area, Decubitus sacral area, Decubitus ulcer, Delirium, Dementia, Diabetes, Diagnosis implying death, Double duty pathogen, ENT, Electrolyte disturbance, Encephalitis, Encephalopathy, Endocrine disorder, Endocrine neoplasm, Exposure, Eye, Female genital neoplasm, Fistula, Fracture, Fungus, GI ulcer, Gastroenteritis, Gastrointestinal, Gastrointestinal neoplasm, Hallucinogen related, Has one, Head trauma, Head trauma (old), Healthcare contact, Heart valve disease, Heme/immunology, Heme/immunology neoplasm, Hemophilia, Hemorrhage, Hepatitis, Hereditary/congenital, Hernia, Hypertension, Hypotension, Iatrogenic, Iatrogenic infection, Iatrogenic mechanism, Imaging, Infection requiring pathogen, Infection with implied pathogen, Infectious disease, Inflammatory Bowel Disease, Influenza, Inhalation, Intra-abdominal infection, Ischemia, Ischemic gut, Ischemic heart disease, Joint/ligament trauma, Leukemia, Liver disease, Liver failure, Lower limb trauma, Lower respiratory tract infection... further results