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ICD-10 Guide
ICD-10 CodesC47.8

C47.8

Billable

Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system

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

Code Description

ICD-10 C47.8 is a billable code used to indicate a diagnosis of malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system.

Key Diagnostic Point:

C47.8 refers to malignant neoplasms that arise from the peripheral nerves and the autonomic nervous system, where the tumor sites overlap. These neoplasms can be classified as soft tissue sarcomas, which are tumors that originate in the connective tissues of the body. The complexity of these tumors arises from their diverse histological types, which can include neurofibrosarcoma and malignant peripheral nerve sheath tumors (MPNST). Grading of these tumors is crucial, as it helps determine the aggressiveness of the cancer and guides treatment decisions. Multidisciplinary management is essential, involving oncologists, surgeons, radiologists, and pathologists to ensure comprehensive care. Treatment may include surgical resection, chemotherapy, and radiation therapy, depending on the tumor's size, location, and grade. Accurate coding is vital for appropriate reimbursement and tracking of treatment outcomes.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Diverse histological types complicate diagnosis and coding.
  • Overlap with other neoplasms requires careful differentiation.
  • Grading systems vary and impact treatment decisions.
  • Multidisciplinary management necessitates comprehensive documentation.

Audit Risk Factors

  • Inadequate documentation of tumor type and grade.
  • Failure to capture multidisciplinary treatment approaches.
  • Misclassification of tumor site leading to incorrect coding.
  • Lack of clarity in pathology reports.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

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

Common Clinical Scenarios

Diagnosis and management of soft tissue sarcomas, including surgical interventions.

Billing Considerations

Ensure accurate staging and grading are documented for appropriate coding.

Surgery

Documentation Requirements

Operative reports detailing tumor resection and margins.

Common Clinical Scenarios

Surgical excision of malignant peripheral nerve sheath tumors.

Billing Considerations

Documenting the extent of resection and any complications is crucial.

Coding Guidelines

Inclusion Criteria

Use C47.8 When
  • Follow the official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's site, type, and grade
  • Include any relevant treatment details and multidisciplinary approaches

Exclusion Criteria

Do NOT use C47.8 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 neoplasm of the peripheral nerves.

Documentation Requirements

Operative report detailing the excision and margins.

Specialty Considerations

Ensure the surgical specialty documents the extent 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 for complex cases like C47.8.

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 for complex cases like C47.8.

Reimbursement & Billing Impact

reimbursement processes for complex cases like C47.8.

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?

Grading helps determine the aggressiveness of the tumor and informs treatment decisions, impacting prognosis and management strategies.