Coding and coverage · ICD-10-CM

T79 › T79.4

T79.4XXA Traumatic shock, initial encounter

BillableCMS-HCC V28: HCC 2Chapter 19

7th character A: initial encounter

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Instructional notes

Chapter 19

Excludes2Not included here: the patient may have both; report both when both are present.
Use additional codeAdd a second code for the full picture.
  • code to identify any retained foreign body, if applicable (Z18.-)
Notes
  • Use secondary code(s) from Chapter 20, External causes of morbidity, to indicate cause of injury. Codes within the T section that include the external cause do not require an additional external cause code
  • The chapter uses the S-section for coding different types of injuries related to single body regions and the T-section to cover injuries to unspecified body regions as well as poisoning and certain other consequences of external causes.

T79

Excludes2Not included here: the patient may have both; report both when both are present.
  • acute respiratory distress syndrome (J80)
  • complications occurring during or following medical procedures (T80-T88)
  • complications of surgical and medical care NEC (T80-T88)
  • newborn respiratory distress syndrome (P22.0)
7th charactersThe appropriate 7th character is to be added to each code from category T79
  • A initial encounter
  • D subsequent encounter
  • S sequela

T79.4

Excludes1Not coded here: never report with this code, except when the two conditions are unrelated.
  • anaphylactic shock due to adverse food reaction (T78.0-)
  • anaphylactic shock due to correct medicinal substance properly administered (T88.6)
  • anaphylactic shock due to serum (T80.5-)
  • anaphylactic shock NOS (T78.2)
  • electric shock (T75.4)
  • nontraumatic shock NEC (R57.-)
  • obstetric shock (O75.1)
  • postprocedural shock (T81.1-)
  • septic shock (R65.21)
  • shock complicating abortion or ectopic or molar pregnancy (O00-O07, O08.3)
  • shock due to anesthesia (T88.2)
  • shock due to lightning (T75.01)
  • shock NOS (R57.9)
Inclusion terms
  • Shock (immediate) (delayed) following injury

Chapter 19: Injury, poisoning and certain other consequences of external causes · T07-T88 Injury, poisoning and certain other consequences of external causes (T07-T88)

Source: ICD-10-CM FY 2027 code descriptions and tabular list (CMS and CDC National Center for Health Statistics), effective 2026-10-01 through 2027-09-30 · CMS ICD-10 files. HCC mapping: CMS-HCC V28, payment year 2027. As of 2026-11-04.

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