R16.1
BillableSplenomegaly, not elsewhere classified
This code does not map to an HCC category in any model (V28, V24, ESRD, RxHCC).
What This Code Means
An enlarged spleen that is not caused by a condition classified elsewhere. This is a finding noted during physical examination or imaging.
Coding Tips
- •Use this code only when the underlying cause of splenomegaly is not identified or documented
- •If a specific cause is known (infection, malignancy, cirrhosis), code the underlying condition instead
Code Hierarchy
└R16Hepatomegaly and splenomegaly, not elsewhere classified└R16.1Splenomegaly, not elsewhere classified
└R16.1Splenomegaly, not elsewhere classified