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 | |
This diagnosis is a part of ICD10 collection.
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.
- the patient is in shock -- i.e. substantial absolute or relative hypotension and/or other evidence of systemic hypoperfusion (such as elevated serum lactate).
- there is no evidence of septic, hypovolemic or distributive shock or if these are present, there is also evidence of cardiac insult.
- 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 Admit Diagnosis. Cardiogenic shock can be an Acquired Diagnosis that occurs on a medicine ward which usually requires a transfer to the ICU unless it is a palliative patient or the patient dies before being sent to the ICU.
Alternate ICD10s to consider coding instead or in addition
| shock codes: |
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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