1. Home
  2. ICD-10-CM Codes
  3. R00–R99
  4. R10-R19
  5. R16
  6. 2024 ICD-10-CM Code R16
Version 2024
Non-Billable Code
No Valid Principal Dx

2024 ICD-10-CM Diagnosis Code R16

Hepatomegaly and splenomegaly, not elsewhere classified

ICD-10-CM Code:
R16
ICD-10 Code for:
Hepatomegaly and splenomegaly, not elsewhere classified
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

  • Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
    (R00–R99)
    • Symptoms and signs involving the digestive system and abdomen
      (R10-R19)
      • Hepatomegaly and splenomegaly, not elsewhere classified
        (R16)

R16 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of hepatomegaly and splenomegaly, not elsewhere classified. The code is not specific and is NOT valid for the year 2024 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

According to ICD-10-CM guidelines this code should not to be used as a principal diagnosis code when a related definitive diagnosis has been established.

Specific Coding Applicable to Hepatomegaly and splenomegaly, not elsewhere classified

Non-specific codes like R16 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for hepatomegaly and splenomegaly, not elsewhere classified:

  • Use R16.0 for Hepatomegaly, not elsewhere classified - BILLABLE CODE

  • Use R16.1 for Splenomegaly, not elsewhere classified - BILLABLE CODE

  • Use R16.2 for Hepatomegaly with splenomegaly, not elsewhere classified - BILLABLE CODE

Patient Education


Liver Diseases

Your liver is the largest organ inside your body. It helps your body digest food, store energy, and remove poisons.

There are many kinds of liver diseases:

  • Diseases caused by viruses, such as hepatitis A, hepatitis B, and hepatitis C
  • Diseases caused by drugs, poisons, or too much alcohol. Examples include fatty liver disease and cirrhosis.
  • Liver cancer
  • Inherited diseases, such as hemochromatosis and Wilson disease

Symptoms of liver disease can vary, but they often include swelling of the abdomen and legs, bruising easily, changes in the color of your stool and urine, and jaundice, or yellowing of the skin and eyes. Sometimes there are no symptoms. Tests such as imaging tests and liver function tests can check for liver damage and help to diagnose liver diseases.


[Learn More in MedlinePlus]

Spleen Diseases

Your spleen is an organ above your stomach and under your ribs on your left side. It is about as big as your fist. The spleen is part of your lymphatic system, which fights infection and keeps your body fluids in balance. It contains white blood cells that fight germs. Your spleen also helps control the amount of blood in your body, and destroys old and damaged cells.

Certain diseases might cause your spleen to swell. You can also damage or rupture your spleen in an injury, especially if it is already swollen. If your spleen is too damaged, you might need surgery to remove it. You can live without a spleen. Other organs, such as your liver, will take over some of the spleen's work. Without a spleen, however, your body will lose some of its ability to fight infections.


[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.