ICD-10 Coding for Distributive Shock(R57.8, T88.2, G90.3)
Complete ICD-10-CM coding and documentation guide for Distributive Shock. Includes clinical validation requirements, documentation requirements, and coding pitfalls.
Also known as:
Related ICD-10 Code Ranges
Complete code families applicable to Distributive Shock
R57.0-R57.9Primary Range
Shock not elsewhere classified
Includes various types of shock including distributive shock subtypes.
Anaphylactic shock due to adverse effects
Covers anaphylactic shock due to different causes including drugs and food.
Code Comparison: When to Use Each Code
Compare key differences between these codes to ensure accurate selection
| Code | Description | When to Use | Key Documentation |
|---|---|---|---|
| R57.8 | Other shock | Use when specific subtype of distributive shock is documented but not classified elsewhere. |
|
| T88.2 | Anaphylactic shock due to adverse effect of correct drug or medicament properly administered | Use when anaphylactic shock is due to a drug reaction. |
|
| G90.3 | Neurogenic shock | Use for neurogenic shock due to spinal cord injury. |
|
Clinical Decision Support
Always review the patient's clinical documentation thoroughly. When in doubt, choose the more specific code and ensure documentation supports it.
Key Information: ICD-10 code for distributive shock
Essential facts and insights about Distributive Shock
Primary ICD-10-CM Codes for distributive shock
Decision Criteria
clinical Criteria
- Presence of hypotension with warm extremities and no infection
Applicable To
- Neurogenic shock
- Obstructive shock
Clinical Validation Requirements
- Documented subtype of distributive shock
- Clinical indicators such as warm extremities, hypotension
Code-Specific Risks
- Misclassification as septic shock without infection
Coding Notes
- Ensure documentation specifies the type of shock and excludes sepsis if not present.
T88.2 - Anaphylactic shock due to adverse effect of correct drug or medicament properly administered
Use when anaphylactic shock is due to a drug reaction.
Applicable To
- Anaphylactic shock due to drug
Excludes
- Non-drug anaphylaxis (T78.0-)
Clinical Validation Requirements
- Confirmed drug-induced anaphylaxis
- Response to epinephrine
Coding Notes
Ensure drug is documented as the cause of anaphylaxis.
G90.3 - Neurogenic shock
Use for neurogenic shock due to spinal cord injury.
Applicable To
- Neurogenic shock from spinal cord injury
Excludes
- Traumatic brain injury (S06.-)
Clinical Validation Requirements
- Spinal cord injury above T6
- Bradycardia and hypotension
Coding Notes
Document spinal cord level and injury details.
Ancillary Codes
Additional codes that should be used in conjunction with the main diagnosis codes when applicable.
Other postprocedural shock
T81.19Documentation & Coding Risks
Avoid these common documentation and coding issues when documenting Distributive Shock to ensure proper reimbursement, maintain compliance, and reduce audit risk. These guidelines are particularly important when using ICD-10 code R57.8.
Impact
Clinical: Leads to inappropriate treatment plans., Regulatory: Non-compliance with documentation standards., Financial: Potential loss of reimbursement.
Mitigation Strategy
Always document the cause of shock., Use templates to ensure completeness.
Impact
Reimbursement: Incorrect DRG assignment leading to reimbursement issues., Compliance: Non-compliance with ICD-10 coding guidelines., Data Quality: Inaccurate clinical data affecting patient records.
Mitigation Strategy
Ensure infection is documented before using septic shock codes.
Impact
Coding distributive shock as septic without infection.
Mitigation Strategy
Implement thorough documentation review processes.
Documentation errors, coding pitfalls, and audit risks are interconnected aspects of medical coding and billing. Addressing all three areas helps ensure accurate coding, optimal reimbursement, and regulatory compliance.
Frequently Asked Questions
Common questions about ICD-10 coding for Distributive Shock, with expert answers to help guide accurate code selection and documentation.
Documentation Templates for Distributive Shock
Use these documentation templates to ensure complete and accurate documentation for Distributive Shock. These templates include all required elements for proper coding and billing.
Anaphylactic shock in emergency department
Specialty: Emergency MedicineRequired Elements
- Trigger identification
- Vital signs
- Response to treatment
Example Documentation
Examples: Poor vs. Good Documentation
Poor Documentation Example
Good Documentation Example
Explanation
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