AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor

Hypovolemic Shock & Volume Depletion

A patient was admitted with hypovolemic shock due to volume depletion as a result of persistent nausea and vomiting. There is an Excludes1 note at category E86-, Volume depletion that prevents the reporting of dehydration or volume depletion with code R57.1, Hypovolemic shock. Not every patient who presents with dehydration suffers hypovolemic shock. However, code R57.1 is classified in Chapter 18, Symptoms, Signs and Abnormal Findings. Since codes from Chapter 18 are not reported when a related definitive diagnosis has been established by the provider, how can the severity of illness be captured if code R57.1 cannot be reported with codes E86.0, Dehydration and E86.9, Volume depletion, unspecified? ...

To read the full article, sign in and subscribe to AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS .


  • The official AHA publication for ICD-10-CM and ICD-10-PCS coding guidelines and advice
  • Current newsletters added each quarter
  • Full Archives - over 3100 articles
  • ALL years/issues back to 1984 organized by year and issue
  • Includes ICD-10-CM/PCS Articles since 2013
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
  • View all the articles associated with any code, right from the code page!
Access to this feature is available in the following products:
  • AHA's Coding Clinic® - ICD-10-CM/PCS +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.