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Home/Diagnosis/ICD-10 Coding for Hepatosplenomegaly(R16.2)

ICD-10 Coding for Hepatosplenomegaly(R16.2)

R16.2

Complete ICD-10-CM coding and documentation guide for icd-10 coding for hepatosplenomegaly(r16.2) includes clinical validation requirements, medical necessity guidelines, and coding policies.

Also Known as:
Liver and spleen enlargement
Hepatomegaly with splenomegaly
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Key Information: ICD-10 Coding for Hepatosplenomegaly(R16.2)

Essential facts and insights about ICD-10 Coding for Hepatosplenomegaly(R16.2)

Use ICD-10 code R16.2 for hepatomegaly with splenomegaly, not elsewhere classified, ensuring proper documentation in clinical notes.

Primary ICD-10-CM Codes

Hepatomegaly with splenomegaly, not elsewhere classified

Billable Code
R16.2
Billable

Diagnostic Criteria

clinical_criteria:
  • • Both liver and spleen are enlarged without a known cause.
coding_criteria:
  • • Underlying cause is unknown or under investigation.
documentation_criteria:
  • • Imaging and physical exam findings are documented.

Applicable To

  • • Enlargement of both liver and spleen

Important Notes

  • • Ensure documentation specifies measurements and imaging findings.
Ancillary Codes

Additional codes that may be used with this diagnosis

B18.2

Chronic viral hepatitis C

Use as primary when hepatosplenomegaly is due to hepatitis C.

Frequently Asked Questions

What is the ICD-10 code for hepatosplenomegaly?

The ICD-10 code for hepatosplenomegaly is R16.2, used when both liver and spleen are enlarged without a known underlying cause.

When should R16.2 be used?

R16.2 should be used when both liver and spleen are enlarged and no definitive underlying cause is identified.

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