{"code":"R16","type":"category","title":"Hepatomegaly and splenomegaly, not elsewhere classified","codeAlso":[],"includes":[],"modern_v":"official26","codeFirst":[],"excludes1":[],"excludes2":["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)"],"isBillable":false,"sibling_codes":["R16.0","R16.1","R16.2"],"inclusionTerms":[],"sibling_titles":{"code":"R16.2","title":"Hepatomegaly with splenomegaly, not elsewhere classified","isBillable":true},"useAdditionalCode":[],"clinicalDefinition":"Hepatomegaly and splenomegaly, not elsewhere classified is a non-billable ICD-10-CM category code (R16). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): 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.","officialDefinition":"Hepatomegaly and splenomegaly, not elsewhere classified is a non-billable ICD-10-CM category code (R16). A more specific billable subcode must be selected for claims submission. Excludes2 (not included here): 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).","seventhCharacterInstructions":[],"workflowProtocols":[],"guidelines":{"whenToUse":[],"whenNotToUse":[],"commonBillingMistakes":[],"codeComparisons":[],"documentationChecklist":[]},"domainLandscape":{"summary":"Primary diagnostic domain and clinical landscape evaluation.","keyCategories":[],"diagnosticContinuum":"Progression continuum from acute presentation to resolution."},"children":[{"code":"R16.0","title":"Hepatomegaly, not elsewhere classified","description":"Hepatomegaly, not elsewhere classified is a billable ICD-10-CM diagnosis code (R16.0). Inclusion terms: Hepatomegaly NOS. Excludes2 (not included here): 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).","isBillable":true,"slug":"r16.0-hepatomegaly-not-elsewhere-classified"},{"code":"R16.1","title":"Splenomegaly, not elsewhere classified","description":"Splenomegaly, not elsewhere classified is a billable ICD-10-CM diagnosis code (R16.1). Inclusion terms: Splenomegaly NOS. Excludes2 (not included here): 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).","isBillable":true,"slug":"r16.1-splenomegaly-not-elsewhere-classified"},{"code":"R16.2","title":"Hepatomegaly with splenomegaly, not elsewhere classified","description":"Hepatomegaly with splenomegaly, not elsewhere classified is a billable ICD-10-CM diagnosis code (R16.2). Inclusion terms: Hepatosplenomegaly NOS. Excludes2 (not included here): 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).","isBillable":true,"slug":"r16.2-hepatomegaly-with-splenomegaly-not-elsewhere-classified"}],"hierarchy":[],"relatedCodes":[],"relevantCPTCodes":[],"documentationTips":[],"caseStudies":[],"description":"","overview":""}