P76 vs R16

P76 (Other intestinal obstruction of newborn) compared with R16 (Hepatomegaly and splenomegaly, not elsewhere classified), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. R16 carries an Excludes2 note covering P76: “newborn intestinal obstruction (P76.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

	P76Other intestinal obstruction of newborn	R16Hepatomegaly and splenomegaly, not elsewhere classified
Billing status	Non-billable header Report instead: P76.0, P76.1, P76.2, P76.8, P76.9	Non-billable header Report instead: R16.0, R16.1, R16.2
Classification	P00-P96 — Certain Conditions Originating in the Perinatal Period (P00-P96)	R00-R99 — Symptoms, Signs and Abnormal Clinical and Laboratory Findings, Not Elsewhere Classified (R00-R99)
Definition	Other intestinal obstruction of newborn is a non-billable ICD-10-CM category code (P76).	Hepatomegaly and splenomegaly, not elsewhere classified is a non-billable ICD-10-CM category code (R16).

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Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources