T79.4 ICD-10-CM Code: Traumatic shock
HCC Buddy Code Card
Digital ICD-10 code-book layout with official code detail, always-visible risk models, Code Trumping, and Buddy coding guidance.
FY 2026 Apr update / Injury, poisoning and certain other consequences of external causes (S00-T88) / Certain early complications of trauma (T79)
T79.4
Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidanceTraumatic shock
Traumatic shock
CMS-HCC V28
00
RAF 0
CMS-HCC V24
00
RAF 0
ACA/HHS
00
RAF 0
ESRD/PACE
00
RAF 0
RXHCC
00
RAF 0
Code Trumping
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Code Book Path
Inclusion Terms
Official- Shock (immediate) (delayed) following injury
Excludes 2
Official- acute respiratory distress syndrome (J80)
- complications occurring during or following medical procedures (T80-T88)
- complications of surgical and medical care NEC (T80-T88)
- newborn respiratory distress syndrome (P22.0)
Related Child Codes
Includes
OfficialICD-10-CM does not list Includes notes for T79.4 in this effective period.
Excludes 1
Official- anaphylactic shock due to adverse food reaction (T78.0-)
- anaphylactic shock due to correct medicinal substance properly administered (T88.6)
- anaphylactic shock due to serum (T80.5-)
- anaphylactic shock NOS (T78.2)
- electric shock (T75.4)
Code First
OfficialICD-10-CM does not list Code First sequencing instructions for T79.4 in this effective period.
Use Additional
OfficialICD-10-CM does not list Use Additional Code instructions for T79.4 in this effective period.
Code Also
OfficialICD-10-CM does not list Code Also instructions for T79.4 in this effective period.
Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.
Coder workflow notes
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What This Code Means
T79.4 is the ICD-10-CM diagnosis code for traumatic shock. T79.4 sits in the ICD-10-CM chapter for injury, poisoning and certain other consequences of external causes (s00-t88), within the section covering certain early complications of trauma (t79).
Header codes like T79.4 cannot be reported on claims directly, they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at T79.4's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.
HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for T79.4 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.
Excludes 1, Do NOT code together
- anaphylactic shock due to adverse food reaction (T78.0-)
- anaphylactic shock due to correct medicinal substance properly administered (T88.6)
- anaphylactic shock due to serum (T80.5-)
- anaphylactic shock NOS (T78.2)
- electric shock (T75.4)
- nontraumatic shock NEC (R57.-)
- obstetric shock (O75.1)
- postprocedural shock (T81.1-)
- septic shock (R65.21)
- shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
- shock due to anesthesia (T88.2)
- shock due to lightning (T75.01)
- shock NOS (R57.9)