FY2027 ICD-10-CM reference
R57: Shock, not elsewhere classified
By the HCC Buddy Coding Team
The official ICD-10-CM descriptor is Shock, not elsewhere classified. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Nonbillable heading. Verified against the official FY2027 order file.
More specific FY2027 codes
- R57.0: Cardiogenic shockBillable code
- R57.1: Hypovolemic shockBillable code
- R57.8: Other shockBillable code
- R57.9: Shock, unspecifiedBillable code
FY2027 Tabular instructions
Instructions below include applicable chapter, section and parent-code notes. Each note identifies where it appears in the official source.
Instructional note
This chapter includes symptoms, signs, abnormal results of clinical or other investigative procedures, and ill-defined conditions regarding which no diagnosis classifiable elsewhere is recorded.
Source: R00-R99 (chapter, inherited).
Instructional note
Signs and symptoms that point rather definitely to a given diagnosis have been assigned to a category in other chapters of the classification. In general, categories in this chapter include the less well-defined conditions and symptoms that, without the necessary study of the case to establish a final diagnosis, point perhaps equally to two or more diseases or to two or more systems of the body. Practically all categories in the chapter could be designated 'not otherwise specified', 'unknown etiology' or 'transient'. The Alphabetical Index should be consulted to determine which symptoms and signs are to be allocated here and which to other chapters. The residual subcategories, numbered .8, are generally provided for other relevant symptoms that cannot be allocated elsewhere in the classification.
Source: R00-R99 (chapter, inherited).
Instructional note
The conditions and signs or symptoms included in categories R00-R94 consist of:
Source: R00-R99 (chapter, inherited).
Instructional note
(a) cases for which no more specific diagnosis can be made even after all the facts bearing on the case have been investigated;
Source: R00-R99 (chapter, inherited).
Instructional note
(b) signs or symptoms existing at the time of initial encounter that proved to be transient and whose causes could not be determined;
Source: R00-R99 (chapter, inherited).
Instructional note
(c) provisional diagnosis in a patient who failed to return for further investigation or care;
Source: R00-R99 (chapter, inherited).
Instructional note
(d) cases referred elsewhere for investigation or treatment before the diagnosis was made;
Source: R00-R99 (chapter, inherited).
Instructional note
(e) cases in which a more precise diagnosis was not available for any other reason;
Source: R00-R99 (chapter, inherited).
Instructional note
(f) certain symptoms, for which supplementary information is provided, that represent important problems in medical care in their own right.
Source: R00-R99 (chapter, inherited).
Excludes2
abnormal findings on antenatal screening of mother (O28.-)
Source: R00-R99 (chapter, inherited).
Excludes2
certain conditions originating in the perinatal period (P04-P96)
Source: R00-R99 (chapter, inherited).
Excludes2
signs and symptoms classified in the body system chapters
Source: R00-R99 (chapter, inherited).
Excludes2
signs and symptoms of breast (N63, N64.5)
Source: R00-R99 (chapter, inherited).
Excludes1
anaphylactic shock NOS (T78.2)
Source: R57 (category, direct).
Excludes1
anaphylactic reaction or shock due to adverse food reaction (T78.0-)
Source: R57 (category, direct).
Excludes1
anaphylactic shock due to adverse effect of correct drug or medicament properly administered (T88.6)
Source: R57 (category, direct).
Excludes1
anaphylactic shock due to serum (T80.5-)
Source: R57 (category, direct).
Excludes1
electric shock (T75.4)
Source: R57 (category, direct).
Excludes1
obstetric shock (O75.1)
Source: R57 (category, direct).
Excludes1
postprocedural shock (T81.1-)
Source: R57 (category, direct).
Excludes1
psychic shock (F43.0)
Source: R57 (category, direct).
Excludes1
shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)
Source: R57 (category, direct).
Excludes1
shock due to anesthesia (T88.2)
Source: R57 (category, direct).
Excludes1
shock due to lightning (T75.01)
Source: R57 (category, direct).
Excludes1
traumatic shock (T79.4)
Source: R57 (category, direct).
Excludes1
toxic shock syndrome (A48.3)
Source: R57 (category, direct).
Compare the FY2027 additions, removals and billable-status changes
What does R57 mean in FY2027?
The official ICD-10-CM descriptor is Shock, not elsewhere classified. The FY2027 annual edition starts October 1, 2026. Check the edition that applies to the encounter or inpatient discharge, including any April update.
Is R57 billable in FY2027?
The FY2027 order file marks R57 as a nonbillable heading. Select a complete billable child code.
Does R57 map to an HCC?
Risk-model mapping is not applicable to this nonbillable heading. Check a complete billable child code.
Source: CMS FY2027 ICD-10-CM order file. Read the FY2027 Official Guidelines.
Review the FY2026 April edition