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ICD-10 Guide
ICD-10 CodesC47.2

C47.2

Billable

Malignant neoplasm of peripheral nerves of lower limb, including hip

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

Code Description

ICD-10 C47.2 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of lower limb, including hip.

Key Diagnostic Point:

C47.2 refers to malignant neoplasms that arise from the peripheral nerves located in the lower limb, including the hip region. These tumors can be classified as soft tissue sarcomas, which are cancers that originate in the connective tissues of the body. Peripheral nerve sheath tumors (PNSTs) are the most common type of malignant neoplasm in this category, often presenting as painful masses that may cause neurological symptoms due to nerve compression. Grading of these tumors is crucial, as it helps determine the aggressiveness of the cancer and guides treatment options. Low-grade tumors tend to grow slowly and have a better prognosis, while high-grade tumors are more aggressive and may metastasize. Multidisciplinary management is essential for optimal outcomes, involving surgical resection, radiation therapy, and chemotherapy as needed. Collaboration among oncologists, surgeons, radiologists, and pathologists is vital to ensure comprehensive care and accurate staging of the disease.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in tumor presentation and symptoms
  • Need for precise documentation of tumor grading
  • Multidisciplinary treatment approaches
  • Potential for metastasis requiring additional coding

Audit Risk Factors

  • Inadequate documentation of tumor characteristics
  • Failure to specify the grade of the tumor
  • 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 coding of tumor grade and type, as well as any metastasis.

Surgery

Documentation Requirements

Operative reports, pre-operative assessments, and post-operative follow-ups.

Common Clinical Scenarios

Surgical resection of malignant peripheral nerve tumors.

Billing Considerations

Document the extent of resection and any complications that may arise.

Coding Guidelines

Inclusion Criteria

Use C47.2 When
  • According to ICD
  • 10 coding guidelines, C47
  • 2 should be used when a malignant neoplasm of the peripheral nerves in the lower limb is confirmed through histological examination
  • It is important to document the specific site and any associated complications

Exclusion Criteria

Do NOT use C47.2 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

38542CPT Code

Excision of malignant tumor of soft tissue

Clinical Scenario

Used during surgical resection of a malignant peripheral nerve tumor.

Documentation Requirements

Operative report detailing the extent of resection and pathology results.

Specialty Considerations

Ensure coordination between surgical and oncology teams for comprehensive care.

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. C47.2 provides a clear distinction for malignant peripheral nerve tumors, facilitating better patient 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. C47.2 provides a clear distinction for malignant peripheral nerve tumors, facilitating better patient management and research.

Reimbursement & Billing Impact

reimbursement processes. C47.2 provides a clear distinction for malignant peripheral nerve tumors, facilitating better patient management and research.

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 tumor grading in C47.2?

Tumor grading is crucial as it indicates the aggressiveness of the cancer, influencing treatment decisions and prognosis. High-grade tumors are more likely to metastasize and require more aggressive treatment.