R16.0

R16.0: Hepatomegaly, not elsewhere classified

Billable / specific codeICD-10-CM

R16.0 is a billable, specific ICD-10-CM code for hepatomegaly, not elsewhere classified. It is valid for submission on a claim.

Check R16.0 with the rest of the claim: free scrubber

Inclusion terms

Alternative wordings a physician may use in the chart for this same code.

Hepatomegaly NOS

Risk adjustment

No CMS-HCC V28 category: this code does not change a RAF score.

Medicare coverage

R16.0 is named in 5 Medicare coverage policies: 5 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.

A56421Billing and Coding: CT of the Abdomen and Pelvis
A56580Billing and Coding: Computerized Axial Tomography (CT), Thorax
A56697Billing and Coding: Non-Invasive Vascular Studies
A56758Billing and Coding: Non-Invasive Vascular Studies

Alphabetic index entries that lead here

Hypertrophy, hypertrophic›liver
Mass›liver

Code history

Unchanged in every release from FY2024 to FY2027.