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v1.0.0
ICD-10 Guide
ICD-10 CodesC47.0

C47.0

Billable

Malignant neoplasm of peripheral nerves of head, face and neck

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

Code Description

ICD-10 C47.0 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of head, face and neck.

Key Diagnostic Point:

C47.0 refers to malignant neoplasms that arise from the peripheral nerves located in the head, face, and neck regions. These tumors can originate from Schwann cells, which are responsible for the myelin sheath surrounding peripheral nerves, or from other nerve-associated tissues. The clinical presentation may include pain, sensory changes, or palpable masses in the affected areas. Diagnosis typically involves imaging studies such as MRI or CT scans, and histopathological examination following biopsy. 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 crucial, as it influences prognosis and treatment decisions. Soft tissue sarcomas in this region can be particularly challenging due to their proximity to vital structures, necessitating careful planning and collaboration among oncologists, surgeons, and radiologists.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in tumor presentation and symptoms
  • Need for precise documentation of tumor location and characteristics
  • Multidisciplinary management requiring coordination among specialties
  • Potential for overlapping symptoms with benign conditions

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to specify the exact location of the neoplasm
  • Lack of clarity in treatment plans and multidisciplinary notes
  • Misclassification of tumor grade

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, including surgical interventions and chemotherapy regimens.

Billing Considerations

Ensure accurate staging and grading are documented to guide treatment decisions.

Surgery

Documentation Requirements

Operative reports detailing the extent of resection and any complications.

Common Clinical Scenarios

Surgical excision of malignant neoplasms and reconstruction of affected areas.

Billing Considerations

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

Coding Guidelines

Inclusion Criteria

Use C47.0 When
  • Follow official ICD
  • CM guidelines for coding neoplasms, ensuring accurate documentation of the tumor's location, behavior, and grade
  • Include any relevant treatment information and follow
  • up care

Exclusion Criteria

Do NOT use C47.0 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

38500CPT Code

Biopsy of lymph nodes

Clinical Scenario

Used when lymph nodes are sampled for staging of the neoplasm.

Documentation Requirements

Document the reason for biopsy and findings.

Specialty Considerations

Oncology specialists should ensure that the biopsy results are linked to the treatment plan.

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. C47.0 provides a clear distinction for tumors of peripheral nerves, enhancing clinical management and research.

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. C47.0 provides a clear distinction for tumors of peripheral nerves, enhancing clinical management and research.

Reimbursement & Billing Impact

reimbursement processes. C47.0 provides a clear distinction for tumors of peripheral nerves, enhancing clinical management and research.

Resources

Clinical References

  • •
    American Cancer Society

Coding & Billing References

  • •
    American Cancer Society

Frequently Asked Questions

What are the common treatments for C47.0?

Common treatments include surgical resection, radiation therapy, and chemotherapy, depending on the tumor's grade and stage.