ICD-10 R57
Non-Billable HeaderShock, not elsewhere classified
About ICD-10-CM R57
ICD-10-CM code R57 represents Shock, not elsewhere classified. This is a non-billable header code in the Symptoms, Signs, and Abnormal Findings chapter (block R57). The 2026 edition of ICD-10-CM R57 became effective on October 1, 2025. Non-billable codes cannot be used as a primary or secondary diagnosis on a claim, use a more specific child code instead.
Type 1 Excludes
Pure excludes, these codes can never be coded together with R57. The conditions are mutually exclusive (e.g., congenital vs acquired forms).
- 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)
Medicare LCD Coverage for R57
Local Coverage Determinations (LCDs) from CMS MACs that list R57 as a covered diagnosis.
This doesn't mean the code isn't covered, it means no MAC has issued a Local Coverage Determination naming this specific code. Coverage may still apply under National Coverage Determinations or general medical-necessity rules.
Commercial Payer Coverage
Coverage policies from major commercial payers referencing R57.
Our payer policy database covers Aetna, Cigna, Anthem, BCBS, Humana, and Medicare Advantage plans, but R57 doesn't currently appear in any indexed policy. The code may still be covered under standard plan benefits.
CPT Codes Commonly Billed with R57
Procedures frequently paired with this diagnosis based on PayerReady's Dx↔Px linkage data.
We don't have CPT pairings indexed for this specific code yet. Use the CPT search above to find common procedures, or check your payer's published medical policy for code-specific guidance.
Codes Adjacent To R57
Other codes in section R50-R69 (General symptoms and signs).
ICD-10 R57, Billing FAQ
Is ICD-10 code R57 billable? +
No, R57 is a non-billable header code. Use a more specific child code from block R57 when submitting claims.
What codes are Type 1 Excludes for R57? +
Type 1 Excludes (never code together with R57): 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)
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on July 16, 2026.
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