Is R16 a billable ICD-10-CM code?

No. R16 is a non-billable header code. Code to a higher level of specificity using one of its child codes.

Where does R16 sit in the tabular list?

Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).

R16

R16 — Hepatomegaly and splenomegaly, not elsewhere classified

Non-billable headerICD-10-CM

R16 is a non-billable header ICD-10-CM code for hepatomegaly and splenomegaly, not elsewhere classified. It cannot be billed on its own: choose one of the more specific child codes below.

Other codes that can never be billed with R16

These codes carry an Excludes1 note pointing at R16. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading R16 alone.

D73.1Hypersplenism

Risk adjustment

R16 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.

Code to one of these instead R16

3 child codes. Green means billable.

Questions about R16

Is R16 a billable ICD-10-CM code?: No. R16 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
Where does R16 sit in the tabular list?: Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified (R00-R99), in the block Symptoms and signs involving the digestive system and abdomen (R10-R19).