tci ED Coding & Reimbursement Alert - 2005 Issue 2

Reader Questions: Find the Injury for Shock Code

Question: What is the diagnosis code for neurogenic shock? I can't find it in the ICD-9 manual. Oklahoma Subscriber Answer: Volume II of ICD-9 refers to the specific spinal injury to find the code. If appropriate, you may want to consider 958.4 (Traumatic shock) or 306.2 (Neurocirculatory asthenia). Neurogenic shock is usually due to an injury that affects the patient's spinal cord - frequently the area involved with sympathetic nerve centers. These patients have warm extremities, as opposed to other shock states in which the extremities are cool due to the constriction of the blood...

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