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Home/Diagnosis/ICD-10 Coding for Enlarged Liver

ICD-10 Coding for Enlarged Liver

R16.0
R16.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for enlarged liver includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Hepatomegaly
Liver Enlargement
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Key Information: ICD-10 Coding for Enlarged Liver

Essential facts and insights about ICD-10 Coding for Enlarged Liver

Use ICD-10 code R16.0 for hepatomegaly, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hepatomegaly, not elsewhere classified

Billable Code
R16.0
Billable

Diagnostic Criteria

clinical:
  • • Liver span >15cm with normal LFTs
coding:
  • • No underlying liver disease documented

Applicable To

  • • Liver enlargement

Important Notes

  • • Ensure documentation specifies the absence of other liver diseases.

Hepatomegaly with splenomegaly, not elsewhere classified

Billable Code
R16.2
Billable

Diagnostic Criteria

clinical:
  • • Both liver and spleen enlarged on imaging
  • • Negative infectious workup

Applicable To

  • • Enlargement of both liver and spleen

Important Notes

  • • Ensure both liver and spleen enlargement are documented.
Ancillary Codes

Additional codes that may be used with this diagnosis

K76.89

Other specified diseases of liver

Use when hepatomegaly is due to fatty liver or other specified liver conditions.

Frequently Asked Questions

What is the ICD-10 code for an enlarged liver?

The ICD-10 code for an enlarged liver, or hepatomegaly, is R16.0 when no specific liver disease is identified.

How do you code hepatomegaly with splenomegaly?

Use ICD-10 code R16.2 for hepatomegaly with splenomegaly when no specific diagnosis is identified.

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