ICD-10-CM Code R16.2

Valid for Submission

R16.2 is a billable code used to specify a medical diagnosis of hepatomegaly with splenomegaly, not elsewhere classified. The code is valid for the year 2020 for the submission of HIPAA-covered transactions. The ICD-10-CM code R16.2 might also be used to specify conditions or terms like cutaneous syndrome with ichthyosis or disorder of hematopoietic system in newborn or hepatosplenomegaly or ichthyosis, cerebellar degeneration and hepatosplenomegaly or neonatal hepatosplenomegaly.

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.

Tabular List of Diseases and Injuries

The Tabular List of Diseases and Injuries is a list of ICD-10 codes, organized "head to toe" into chapters and sections with guidance for inclusions, exclusions, descriptions and more. The following references are applicable to the code R16.2:

Inclusion Terms

Inclusion Terms
These terms are the conditions for which that code is to be used. The terms may be synonyms of the code title, or, in the case of "other specified" codes, the terms are a list of the various conditions assigned to that code. The inclusion terms are not necessarily exhaustive. Additional terms found only in the Alphabetic Index may also be assigned to a code.

• Hepatosplenomegaly NOS

Index to Diseases and Injuries

The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). The following references for the code R16.2 are found in the index:

• - Hepatomegaly - See Also: Hypertrophy, liver;
  • - with splenomegaly - R16.2

• - Hepatosplenomegaly - R16.2

• - Splenomegaly, splenomegalia (Bengal) (cryptogenic) (idiopathic) (tropical) - R16.1
  • - with hepatomegaly - R16.2

Synonyms

The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:

• Cutaneous syndrome with ichthyosis
• Disorder of hematopoietic system in newborn
• Hepatosplenomegaly
• Ichthyosis, cerebellar degeneration and hepatosplenomegaly
• Neonatal hepatosplenomegaly

Diagnostic Related Groups

The ICD-10 code R16.2 is grouped in the following groups for version MS-DRG V37.0 What are Diagnostic Related Groups?
The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). applicable from 10/01/2019 through 09/30/2020.

• 441 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC
• 442 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC
• 443 - DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC

Convert R16.2 to ICD-9

• 789.1 - Hepatomegaly (Combination Flag)
• 789.2 - Splenomegaly (Combination Flag)

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)

Code History

• FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016
  (First year ICD-10-CM implemented into the HIPAA code set)
• FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
• FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
• FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
• FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020

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