ICD-10 Logo
ICDxICD-10 Medical Coding
ICD-10 Logo
ICDxICD-10 Medical Coding
ICD 10 CodesDiagnoses
ICD 10 CodesDiagnoses
ICD-10 Logo
ICDxICD-10 Medical Coding

Comprehensive ICD-10-CM code reference with AI-powered search capabilities.

© 2025 ICD Code Compass. All rights reserved.

Browse

  • All Chapters
  • All Categories
  • Diagnoses

Tools

  • AI Code Search
ICD-10-CM codes are maintained by the CDC and CMS. This tool is for reference purposes only.
v1.0.0
ICD-10 Guide
ICD-10 CodesC47.4

C47.4

Billable

Malignant neoplasm of peripheral nerves of abdomen

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

Code Description

ICD-10 C47.4 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of abdomen.

Key Diagnostic Point:

C47.4 refers to malignant neoplasms originating from the peripheral nerves located in the abdominal region. These tumors can arise from various types of nerve tissues, including Schwann cells, which are responsible for the myelin sheath surrounding peripheral nerves. The clinical presentation may vary, but symptoms often include localized pain, neurological deficits, and palpable masses. Diagnosis typically involves imaging studies such as MRI or CT scans, followed by biopsy for histological confirmation. Treatment options are multidisciplinary, often involving surgical resection, radiation therapy, and chemotherapy, depending on the tumor's grade and stage. Soft tissue sarcomas, including malignant peripheral nerve sheath tumors (MPNST), are particularly relevant in this context, as they can exhibit aggressive behavior and require careful grading to determine prognosis and treatment strategies. Grading is essential, as it influences the treatment approach and helps predict outcomes. Multidisciplinary management is crucial, involving oncologists, surgeons, radiologists, and pathologists to ensure comprehensive care for the patient.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Variability in tumor presentation and symptoms
  • Need for precise histological grading
  • Multidisciplinary treatment approaches
  • Potential for overlapping symptoms with other abdominal conditions

Audit Risk Factors

  • Inadequate documentation of tumor grading
  • Failure to document multidisciplinary treatment approaches
  • Misclassification of tumor type
  • Lack of clarity in imaging and biopsy results

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 MPNST.

Billing Considerations

Ensure accurate grading and staging documentation to guide treatment.

Surgery

Documentation Requirements

Operative reports detailing surgical interventions and margins.

Common Clinical Scenarios

Surgical resection of abdominal tumors.

Billing Considerations

Documenting the extent of resection and any complications.

Coding Guidelines

Inclusion Criteria

Use C47.4 When
  • Follow official ICD
  • CM coding guidelines, ensuring accurate documentation of the tumor's location, type, and treatment
  • Include details on the grading of the tumor and any associated conditions

Exclusion Criteria

Do NOT use C47.4 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

38500CPT Code

Biopsy of lymph nodes

Clinical Scenario

Used in conjunction with C47.4 for staging and diagnosis.

Documentation Requirements

Document the reason for biopsy and findings.

Specialty Considerations

Oncology specialists should ensure thorough documentation of the biopsy results.

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 C47.4.

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 C47.4.

Reimbursement & Billing Impact

reimbursement processes for complex cases like C47.4.

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 is crucial as it helps determine the aggressiveness of the tumor, influences treatment decisions, and provides prognostic information.