Is ICD-10-CM code R57 billable?

No, R57 (Shock, not elsewhere classified) is a non-billable ICD-10-CM code. It must be coded to a more specific subcategory before it can be used for reimbursement.

What chapter does ICD-10-CM code R57 belong to?

R57 belongs to Chapter 18 of the ICD-10-CM tabular list: R00–R99 (Symptoms, Signs and Abnormal Clinical and Laboratory Findings).

R57Non-billable

Shock, not elsewhere classified

Symptoms, Signs and Abnormal Clinical and Laboratory Findings·General symptoms and signs (R50-R69)·category·FY 2026

Use a more specific code (4 billable)

R57.0Cardiogenic shock R57.1Hypovolemic shock R57.8Other shock R57.9Shock, unspecified

CH18 Parent Instructions

Excludes2(Not included here. Code separately if applicable.)

abnormal findings on antenatal screening of mother (O28.-)
certain conditions originating in the perinatal period (P04-P96)
signs and symptoms classified in the body system chapters
signs and symptoms of breast (N63, N64.5)

Instructional Notes

Excludes1(Not coded here. Use a different code.)

anaphylactic shock NOS (T78.2)
anaphylactic reaction or shock due to adverse food reaction (T78.0-)
anaphylactic shock due to adverse effect of correct drug or medicament properly administered (T88.6)
anaphylactic shock due to serum (T80.5-)
electric shock (T75.4)
obstetric shock (O75.1)
postprocedural shock (T81.1-)
psychic shock (F43.0)
shock complicating or following ectopic or molar pregnancy (O00-O07, O08.3)
shock due to anesthesia (T88.2)
shock due to lightning (T75.01)
traumatic shock (T79.4)
toxic shock syndrome (A48.3)

Clinical Hierarchy

BillableHas subcodes

CH18Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99)

R50-R69General symptoms and signs (R50-R69)

R57Shock, not elsewhere classifiedNot billable

R57.0Cardiogenic shockBillable

R57.1Hypovolemic shockBillable

R57.8Other shockBillable

R57.9Shock, unspecifiedBillable

MS-DRG Classification

2026

No direct MS-DRG triggers identified.