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v1.0.0
ICD-10 Guide
ICD-10 CodesC47.10

C47.10

Billable

Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder

BILLABLE STATUSYes
IMPLEMENTATION DATEOctober 1, 2015
LAST UPDATED09/05/2025

Code Description

ICD-10 C47.10 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder.

Key Diagnostic Point:

C47.10 refers to malignant neoplasms that arise from the peripheral nerves in the upper limb, including the shoulder region. These tumors can be classified as soft tissue sarcomas, which are malignant tumors originating from connective tissues. The peripheral nerves are responsible for transmitting signals between the central nervous system and the rest of the body, and malignancies in this area can lead to significant functional impairment and pain. The grading of these tumors is crucial, as it determines the aggressiveness of the cancer and influences treatment decisions. Multidisciplinary management is essential, involving oncologists, surgeons, radiologists, and pain management specialists to optimize patient outcomes. Treatment may include surgical resection, radiation therapy, and chemotherapy, depending on the tumor's size, location, and histological characteristics. Accurate coding is vital for appropriate reimbursement and tracking of cancer incidence and outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in tumor presentation and histology
  • Need for precise documentation of tumor location and type
  • Potential for overlapping symptoms with other conditions
  • Multidisciplinary treatment approaches complicating coding

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to specify the exact location of the neoplasm
  • Misclassification of tumor type or grade
  • Lack of multidisciplinary treatment documentation

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, treatment plans, and follow-up notes.

Common Clinical Scenarios

Diagnosis and treatment planning for soft tissue sarcomas.

Billing Considerations

Ensure accurate staging and grading are documented.

Surgery

Documentation Requirements

Operative reports detailing the extent of resection and any complications.

Common Clinical Scenarios

Surgical intervention for tumor resection.

Billing Considerations

Document margins and any additional procedures performed.

Coding Guidelines

Inclusion Criteria

Use C47.10 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the code is used only when the neoplasm is confirmed as malignant and located in the specified area

Exclusion Criteria

Do NOT use C47.10 When
  • Exclude benign neoplasms and ensure proper documentation of the tumor's characteristics

Related ICD-10 Codes

Related CPT Codes

38500CPT Code

Biopsy of lymph nodes

Clinical Scenario

Used when lymph nodes are assessed for metastasis from the malignant neoplasm.

Documentation Requirements

Pathology report and imaging studies.

Specialty Considerations

Oncology specialists should ensure thorough documentation of findings.

ICD-10 Impact

Diagnostic & Documentation Impact

Enhanced Specificity

ICD-10 Improvements

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving data accuracy and facilitating better tracking of cancer incidence and treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving data accuracy and facilitating better tracking of cancer incidence and treatment outcomes.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving data accuracy and facilitating better tracking of cancer incidence and treatment outcomes.

Resources

Clinical References

  • •
    American Cancer Society
  • •
    National Cancer Institute

Coding & Billing References

  • •
    American Cancer Society
  • •
    National Cancer Institute

Frequently Asked Questions

What is the significance of grading in malignant neoplasms?

Grading helps determine the aggressiveness of the tumor and guides treatment decisions. Higher-grade tumors are typically more aggressive and may require more intensive treatment.

How do I differentiate between malignant and benign neoplasms?

Malignant neoplasms typically exhibit uncontrolled growth, invasion of surrounding tissues, and potential for metastasis, while benign neoplasms do not invade and are usually well-circumscribed.