Complete ICD-10-CM coding and documentation guide for icd-10 coding for splenomegaly includes clinical validation requirements, medical necessity guidelines, and coding policies.
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Essential facts and insights about ICD-10 Coding for Splenomegaly
Use ICD-10 code R16.1 for splenomegaly, not elsewhere classified, ensuring proper documentation in clinical notes.
Additional codes that may be used with this diagnosis
Hypersplenism
Use when splenomegaly causes cytopenias.
The ICD-10 code for splenomegaly, not elsewhere classified, is R16.1. It is used when the enlargement of the spleen is idiopathic or unspecified.
Splenomegaly documentation should include spleen size and confirmation method, such as imaging or palpation, to support accurate coding.