Billable / Specific Code
ICD-10-CM R16.0 is the diagnosis code for Hepatomegaly, not elsewhere classified. This code falls under the section "Symptoms and signs involving the digestive system and abdomen" within Chapter 18 — Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99). It is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. Medical coders and healthcare providers use this code to document and classify diagnoses in electronic health records, insurance claims, and clinical databases.
Understanding where R16.0 sits in the ICD-10-CM classification helps ensure proper coding:
Yes, R16.0 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes.
R16.0 is the ICD-10-CM diagnosis code for "Hepatomegaly, not elsewhere classified". It is used by healthcare providers to classify and document this condition in medical records and insurance claims.
The parent code of R16.0 is R16 ("Hepatomegaly and splenomegaly, not elsewhere classified"). R16.0 provides a more specific classification within this category.
R16.0 is located in Section R10-R19 — "Symptoms and signs involving the digestive system and abdomen" within Chapter 18 of the ICD-10-CM Tabular List.
Use R16.0 when the patients documented diagnosis matches "Hepatomegaly, not elsewhere classified" and the clinical documentation supports this level of specificity. Always verify with the latest ICD-10-CM guidelines and payer requirements.
The ICD-10-CM code for Hepatomegaly, not elsewhere classified is R16.0.
Yes, R16.0 can be used as a primary diagnosis code since it is billable and specific.
R16.0 is in Chapter 18 of the ICD-10-CM Tabular List.
Yes, R16.0 is a valid ICD-10-CM code for the 2026 fiscal year, subject to official CMS updates.