R57.1

Billable

Hypovolemic shock

HCC Category Mapping

V28HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

0.455

V24HCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

0.455

ESRDHCC 2 — Septicemia, Sepsis, Systemic Inflammatory Response Syndrome/Shock

0.000

What This Code Means

A life-threatening condition caused by severe loss of blood or body fluids, resulting in insufficient blood volume to maintain circulation and blood pressure.

Coding Tips

•Document the source of fluid loss (hemorrhage, burns, dehydration) and code the underlying cause separately
•Ensure documentation specifies hypovolemic shock rather than other shock types

Clinical Significance

Hypovolemic shock results from severe intravascular volume loss leading to inadequate tissue perfusion and hemodynamic instability. This life-threatening condition requires immediate fluid resuscitation and identification of the bleeding or fluid loss source, with significant impact on risk adjustment due to high mortality risk and intensive care requirements.

Documentation Requirements

✓Documentation of shock due to volume loss
✓Evidence of significant fluid or blood loss
✓Hemodynamic instability (hypotension, tachycardia)
✓Signs of poor tissue perfusion
✓Source of volume loss identified if possible
✓Response to fluid resuscitation
✓Blood product transfusion if indicated
✓Surgical intervention for bleeding control

Commonly Confused Codes

R57.0 — Cardiogenic shock due to heart failure, not volume loss R57.8 — Other shock types without volume depletion R58 — Hemorrhage without shock state E86.0 — Dehydration without shock physiology

Code Hierarchy

└R57Shock, not elsewhere classified └R57.1Hypovolemic shock

└R57.1Hypovolemic shock