ICD-10 Code for Shock
The ICD-10-CM code for shock is R57.9 — Shock, unspecified. This is the code the Alphabetic Index gives for shock with no further qualifier, valid for FY2027 (October 1, 2026 – September 30, 2027).
BillableUnspecified
R57.9 is billable but unspecified. If the documentation names a type, site or cause, one of the more specific codes below is likely expected.
Which shock code should you use?
The Alphabetic Index lists 42 codes under Shock. Which one applies depends on the qualifier documented in the record — the type, site, cause, or associated condition. Find the qualifier below, then verify the code in the Tabular List before using it.
By type
| with ectopic or molar pregnancy | O08.3 | Shock following ectopic and molar pregnancy | |
| adrenal | E27.2 | Addisonian crisis | |
| anaphylactic | T78.2 | Anaphylactic shock, unspecified | not billable |
| cardiogenic | R57.0 | Cardiogenic shock | |
| complicating ectopic or molar pregnancy | O08.3 | Shock following ectopic and molar pregnancy | |
| during or after labor and delivery | O75.1 | Shock during or following labor and delivery | |
| electric | T75.4 | Electrocution | not billable |
| endotoxic | R65.21 | Severe sepsis with septic shock | |
| from electroshock gun | T75.4 | Electrocution | not billable |
| gram-negative | R65.21 | Severe sepsis with septic shock | |
| hematologic | R57.8 | Other shock | |
| hemorrhagic | R57.8 | Other shock | |
| hypovolemic | R57.1 | Hypovolemic shock | |
| insulin | E15 | Nondiabetic hypoglycemic coma | |
| kidney | N17.0 | Acute kidney failure with tubular necrosis | |
| liver | K72.00 | Acute and subacute hepatic failure without coma | |
| lightning | T75.01 | Shock due to being struck by lightning | not billable |
| lung | J80 | Acute respiratory distress syndrome | |
| obstetric | O75.1 | Shock during or following labor and delivery | |
| pleural | T81.19 | Other postprocedural shock | not billable |
| postprocedural | T81.10 | Postprocedural shock unspecified | not billable |
| psychic | F43.0 | Acute stress reaction | |
| septic | R65.21 | Severe sepsis with septic shock | |
| specified NEC | R57.8 | Other shock | |
| surgical | T81.10 | Postprocedural shock unspecified | not billable |
| taser gun | T75.4 | Electrocution | not billable |
| therapeutic misadventure NEC | T81.10 | Postprocedural shock unspecified | not billable |
| toxic, syndrome | A48.3 | Toxic shock syndrome | |
| traumatic | T79.4 | Traumatic shock | not billable |
Shock anaphylactic
| due to food | T78.00 | Anaphylactic reaction due to unspecified food | not billable |
| immunization | T80.52 | Anaphylactic reaction due to vaccination | not billable |
| serum | T80.59 | Anaphylactic reaction due to other serum | not billable |
| due to drug or medicinal substance › correct substance properly administered | T88.6 | Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered | not billable |
| due to food › additives | T78.06 | Anaphylactic reaction due to food additives | not billable |
| due to food › dairy products | T78.079 | Anaphylactic reaction due to milk and dairy products, unspecified | not billable |
| due to food › eggs | T78.089 | Anaphylactic reaction due to eggs, unspecified | not billable |
| due to food › fish | T78.03 | Anaphylactic reaction due to other fish | not billable |
| due to food › fruit | T78.04 | Anaphylactic reaction due to fruits and vegetables | not billable |
| due to food › milk | T78.079 | Anaphylactic reaction due to milk and dairy products, unspecified | not billable |
| due to food › nuts | T78.05 | Anaphylactic reaction due to tree nuts and seeds | not billable |
| due to food › peanuts | T78.01 | Anaphylactic reaction due to peanuts | not billable |
| due to food › seeds | T78.05 | Anaphylactic reaction due to tree nuts and seeds | not billable |
| due to food › specified type NEC | T78.09 | Anaphylactic reaction due to other food products | not billable |
| due to food › vegetable | T78.04 | Anaphylactic reaction due to fruits and vegetables | not billable |
| serum › blood and blood products | T80.51 | Anaphylactic reaction due to administration of blood and blood products | not billable |
| serum › immunization | T80.52 | Anaphylactic reaction due to vaccination | not billable |
| serum › specified NEC | T80.59 | Anaphylactic reaction due to other serum | not billable |
| serum › vaccination | T80.52 | Anaphylactic reaction due to vaccination | not billable |
| due to food › fish › shellfish | T78.02 | Anaphylactic reaction due to shellfish (crustaceans) | not billable |
| due to food › nuts › multiple types | T78.05 | Anaphylactic reaction due to tree nuts and seeds | not billable |
| due to food › nuts › peanuts | T78.01 | Anaphylactic reaction due to peanuts | not billable |
| due to food › dairy products › with › reactivity to baked milk | T78.071 | Anaphylactic reaction due to milk and dairy products with reactivity to baked milk | not billable |
| due to food › dairy products › with › tolerance to baked milk | T78.070 | Anaphylactic reaction due to milk and dairy products with tolerance to baked milk | not billable |
| due to food › eggs › with › reactivity to baked egg | T78.081 | Anaphylactic reaction due to egg with reactivity to baked egg | not billable |
| due to food › eggs › with › tolerance to baked egg | T78.080 | Anaphylactic reaction due to egg with tolerance to baked egg | not billable |
| due to food › milk › with › reactivity to baked milk | T78.071 | Anaphylactic reaction due to milk and dairy products with reactivity to baked milk | not billable |
| due to food › milk › with › tolerance to baked milk | T78.070 | Anaphylactic reaction due to milk and dairy products with tolerance to baked milk | not billable |
Shock anesthetic
| correct substance properly administered | T88.2 | Shock due to anesthesia | not billable |
Shock drug
| due to correct substance properly administered | T88.6 | Anaphylactic reaction due to adverse effect of correct drug or medicament properly administered | not billable |
Shock endotoxic
| postprocedural | T81.12 | Postprocedural septic shock | not billable |
Shock following
Shock gram-negative
| postprocedural | T81.12 | Postprocedural septic shock | not billable |
Shock hemorrhagic
Shock hypovolemic
Shock kidney
| traumatic | T79.5 | Traumatic anuria | not billable |
Shock obstetric
Shock pleural
| due to trauma | T79.4 | Traumatic shock | not billable |
Shock postprocedural
| with ectopic or molar pregnancy | O08.3 | Shock following ectopic and molar pregnancy | |
| cardiogenic | T81.11 | Postprocedural cardiogenic shock | not billable |
| endotoxic | T81.12 | Postprocedural septic shock | not billable |
| following ectopic or molar pregnancy | O08.3 | Shock following ectopic and molar pregnancy | |
| gram-negative | T81.12 | Postprocedural septic shock | not billable |
| hypovolemic | T81.19 | Other postprocedural shock | not billable |
| septic | T81.12 | Postprocedural septic shock | not billable |
| specified type NEC | T81.19 | Other postprocedural shock | not billable |
Index terms and codes are reproduced from the official ICD-10-CM FY2027 release. The Alphabetic Index is a finding aid — a code must always be verified in the Tabular List before it is reported. Data sources