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ICD-10 Guide
ICD-10 CodesC47.3

C47.3

Billable

Malignant neoplasm of peripheral nerves of thorax

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

Code Description

ICD-10 C47.3 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of thorax.

Key Diagnostic Point:

C47.3 refers to malignant neoplasms that arise from the peripheral nerves located in the thoracic region. These tumors can be classified as soft tissue sarcomas, which are malignant tumors originating from mesenchymal tissues. The thoracic peripheral nerves include those that innervate the chest wall and diaphragm, and tumors in this area can lead to significant morbidity due to their potential to invade surrounding structures. Grading of these tumors is crucial, as it helps determine the aggressiveness of the neoplasm and guides treatment decisions. Multidisciplinary management is essential, involving surgical oncologists, medical oncologists, radiation oncologists, and pain management specialists to optimize patient outcomes. Treatment may include surgical resection, chemotherapy, and radiation therapy, depending on the tumor's size, location, and histological grade. Accurate coding of C47.3 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 characteristics
  • Differentiation from benign peripheral nerve tumors
  • Multidisciplinary treatment approaches

Audit Risk Factors

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

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

Detailed pathology reports, imaging studies, and treatment plans must be documented.

Common Clinical Scenarios

Diagnosis and management of soft tissue sarcomas, staging of malignancies, and treatment planning.

Billing Considerations

Ensure accurate coding of tumor grade and stage, as these impact treatment and prognosis.

Surgery

Documentation Requirements

Operative reports detailing the extent of resection and any complications.

Common Clinical Scenarios

Surgical intervention for tumor resection and management of surgical complications.

Billing Considerations

Document the surgical margins and any adjuvant therapies planned post-surgery.

Coding Guidelines

Inclusion Criteria

Use C47.3 When
  • Follow the official ICD
  • CM coding guidelines, ensuring that the diagnosis is supported by clinical documentation
  • Include specific details about the tumor's location, size, and histological type

Exclusion Criteria

Do NOT use C47.3 When
  • Exclude benign tumors and ensure that the neoplasm is confirmed by pathology

Related ICD-10 Codes

Related CPT Codes

38500CPT Code

Biopsy of lymph nodes

Clinical Scenario

Used when lymph nodes are sampled for staging of malignancy.

Documentation Requirements

Document the reason for biopsy and findings.

Specialty Considerations

Oncology specialists should ensure that the biopsy results correlate with the diagnosis.

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

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Coding & Billing References

  • •
    ICD-10-CM Official Guidelines for Coding and Reporting

Frequently Asked Questions

What is the significance of grading in malignant neoplasms of peripheral nerves?

Grading helps determine the aggressiveness of the tumor and informs treatment decisions, including the need for chemotherapy or radiation therapy.