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v1.0.0
ICD-10 Guide
ICD-10 CodesC47.22

C47.22

Billable

Malignant neoplasm of peripheral nerves of left lower limb, including hip

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

Code Description

ICD-10 C47.22 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of left lower limb, including hip.

Key Diagnostic Point:

C47.22 refers to malignant neoplasms that arise from the peripheral nerves located in the left lower limb, including the hip region. These tumors are classified as soft tissue sarcomas, which are malignant tumors originating from mesenchymal tissues. Peripheral nerve sheath tumors (PNSTs), including malignant peripheral nerve sheath tumors (MPNSTs), are the most common types associated with this code. The clinical presentation may include pain, swelling, and neurological deficits depending on the tumor's size and location. Diagnosis typically involves imaging studies such as MRI or CT scans, followed by biopsy for histological confirmation. Grading of these tumors is crucial, as it influences treatment decisions and prognosis. Multidisciplinary management often includes surgical resection, radiation therapy, and chemotherapy, particularly for high-grade tumors. The complexity of treatment necessitates collaboration among oncologists, surgeons, radiologists, and pathologists to optimize patient outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Need for precise anatomical localization (left lower limb, including hip)
  • Differentiation between benign and malignant tumors
  • Grading of soft tissue sarcomas impacts treatment and coding
  • Multidisciplinary approach requires comprehensive documentation

Audit Risk Factors

  • Inadequate documentation of tumor grading
  • Failure to specify laterality
  • Misclassification of benign vs 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 MPNSTs.

Billing Considerations

Ensure accurate grading and staging documentation.

Surgery

Documentation Requirements

Operative reports detailing tumor resection and margins.

Common Clinical Scenarios

Surgical intervention for tumor removal and reconstruction.

Billing Considerations

Document surgical approach and any complications.

Coding Guidelines

Inclusion Criteria

Use C47.22 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's location, laterality, and histological type
  • Include any relevant staging information and treatment plans

Exclusion Criteria

Do NOT use C47.22 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 size, location, and margins.

Specialty Considerations

Ensure surgical notes reflect the complexity of the procedure.

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 the accuracy of data collection and reimbursement processes. C47.22 provides granularity in coding that was not available in ICD-9, facilitating better tracking of treatment outcomes.

ICD-9 vs ICD-10

The transition to ICD-10 has allowed for more specific coding of malignant neoplasms, improving the accuracy of data collection and reimbursement processes. C47.22 provides granularity in coding that was not available in ICD-9, facilitating better tracking of treatment outcomes.

Reimbursement & Billing Impact

reimbursement processes. C47.22 provides granularity in coding that was not available in ICD-9, facilitating better tracking of treatment outcomes.

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 C47.22?

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.