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ICD-10 Guide
ICD-10 CodesC47.12

C47.12

Billable

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

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

Code Description

ICD-10 C47.12 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of left upper limb, including shoulder.

Key Diagnostic Point:

C47.12 refers to malignant neoplasms that arise from the peripheral nerves in the left upper limb, including the shoulder region. These tumors can be classified as soft tissue sarcomas, which are malignant tumors originating from mesenchymal tissues. The peripheral nerves are critical for motor and sensory functions, and malignancies in this area can lead to significant morbidity. Symptoms may include pain, weakness, sensory loss, and functional impairment of the affected limb. Diagnosis typically involves imaging studies such as MRI or CT scans, followed by biopsy for histological confirmation. Treatment often requires a multidisciplinary approach, including surgical resection, radiation therapy, and chemotherapy, depending on the tumor's grade and stage. Grading of these tumors is essential, as it influences prognosis and treatment decisions. High-grade tumors are more aggressive and may require more intensive treatment strategies. The management of peripheral nerve tumors necessitates collaboration among oncologists, surgeons, radiologists, and rehabilitation specialists to optimize patient outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Requires precise anatomical localization for accurate coding.
  • Differentiation between benign and malignant neoplasms is critical.
  • Involves understanding of soft tissue sarcoma grading.
  • Multidisciplinary management necessitates comprehensive documentation.

Audit Risk Factors

  • Inadequate documentation of tumor grade and stage.
  • Failure to specify the exact location of the neoplasm.
  • Misclassification of benign versus malignant tumors.
  • Lack of multidisciplinary treatment documentation.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans.

Common Clinical Scenarios

Diagnosis and management of soft tissue sarcomas, including staging and grading.

Billing Considerations

Ensure accurate documentation of tumor characteristics and treatment response.

Surgery

Documentation Requirements

Operative reports detailing surgical interventions and margins.

Common Clinical Scenarios

Surgical resection of malignant peripheral nerve tumors.

Billing Considerations

Document the extent of resection and any complications.

Coding Guidelines

Inclusion Criteria

Use C47.12 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's location, type, and grade
  • Include any relevant treatment details and multidisciplinary management notes

Exclusion Criteria

Do NOT use C47.12 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

38542CPT Code

Excision of malignant tumor of soft tissue

Clinical Scenario

Used when excising a malignant peripheral nerve tumor.

Documentation Requirements

Operative report detailing the tumor's location and margins.

Specialty Considerations

Ensure the surgical approach is documented.

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 patient management through detailed coding.

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 patient management through detailed coding.

Reimbursement & Billing Impact

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving data accuracy and facilitating better patient management through detailed coding.

Resources

Clinical References

  • •
    American Cancer Society - Soft Tissue Sarcomas

Coding & Billing References

  • •
    American Cancer Society - Soft Tissue Sarcomas

Frequently Asked Questions

What is the significance of tumor grading in C47.12?

Tumor grading is crucial as it determines the aggressiveness of the cancer and influences treatment decisions. High-grade tumors may require more aggressive treatment compared to low-grade tumors.