R16 — Hepatomegaly and splenomegaly, not elsewhere classified
Is R16 billable?
No — R16 is a non-billable header code. R16 groups more specific codes and cannot be submitted on a claim. A valid ICD-10-CM code must be reported at the highest level of specificity available in its branch. Select one of the 3 billable codes beneath R16.
R16 at a glance
| Code | R16 |
|---|---|
| Description | Hepatomegaly and splenomegaly, not elsewhere classified |
| Billable | No — header code |
| Code set | ICD-10-CM FY2027 |
| Valid for encounters | October 1, 2026 – September 30, 2027 |
Excludes2 — not included here — inherited from Chapter 18
The conditions below are not part of R16, but a patient may have both at the same time. When documentation supports it, R16 and the excluded code may both be reported.
Excludes2 — not included here — inherited from R10-R19
The conditions below are not part of R16, but a patient may have both at the same time. When documentation supports it, R16 and the excluded code may both be reported.
- congenital or infantile pylorospasm (Q40.0)
- gastrointestinal hemorrhage (K92.0-K92.2)
- intestinal obstruction (K56.-)
- newborn gastrointestinal hemorrhage (P54.0-P54.3)
- newborn intestinal obstruction (P76.-)
- pylorospasm (K31.3)
- signs and symptoms involving the urinary system (R30-R39)
- symptoms referable to female genital organs (N94.-)
- symptoms referable to male genital organs (N48-N50)
What codes fall under R16? (3)
How long has R16 existed?
R16 has been in ICD-10-CM since at least FY2016, the earliest fiscal year on record here.
Derived from the official order files for FY2016–FY2026. FY2017 and FY2020 publish no order file, so those years are not covered.