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Home/Diagnosis/ICD-10 Coding for Hepatomegaly

ICD-10 Coding for Hepatomegaly

R16.0
R16.2

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

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

Essential facts and insights about ICD-10 Coding for Hepatomegaly

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 palpable >4 cm below costal margin
documentation:
  • • No documented cause for hepatomegaly

Applicable To

  • • Isolated hepatomegaly

Important Notes

  • • Ensure to document liver size and any associated symptoms.

Hepatomegaly with splenomegaly

Billable Code
R16.2
Billable

Diagnostic Criteria

clinical:
  • • Documentation of both liver and spleen enlargement

Applicable To

  • • Hepatosplenomegaly

Important Notes

  • • Document both liver and spleen size and any associated conditions.
Frequently Asked Questions

What is the ICD-10 code for hepatomegaly?

The ICD-10 code for hepatomegaly is R16.0 when no other conditions are documented, and R16.2 when hepatomegaly is accompanied by splenomegaly.

How should hepatomegaly be documented?

Document hepatomegaly by noting liver size, texture, and any associated symptoms or underlying conditions to ensure accurate coding.

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