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ICD-10 Guide
ICD-10 CodesC47.6

C47.6

Billable

Malignant neoplasm of peripheral nerves of trunk, unspecified

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

Code Description

ICD-10 C47.6 is a billable code used to indicate a diagnosis of malignant neoplasm of peripheral nerves of trunk, unspecified.

Key Diagnostic Point:

C47.6 refers to malignant neoplasms that arise from the peripheral nerves located in the trunk region of the body. These tumors can originate from Schwann cells, perineural cells, or other nerve sheath components. The trunk encompasses the thoracic and abdominal regions, where peripheral nerves are critical for motor and sensory functions. The diagnosis of malignant peripheral nerve sheath tumors (MPNSTs) is often challenging due to their rarity and the nonspecific symptoms they may present, such as pain, swelling, or neurological deficits. Grading of these tumors is essential, as it helps determine prognosis and treatment options. MPNSTs can be associated with neurofibromatosis type 1 (NF1) and may exhibit aggressive behavior, necessitating a multidisciplinary approach for management, including surgical resection, chemotherapy, and radiation therapy. Accurate coding is crucial for appropriate treatment planning and reimbursement, making it imperative for coders to understand the nuances of this diagnosis.

Code Complexity Analysis

Complexity Rating: High

High Complexity

Complexity Factors

  • Rarity of the condition leading to limited documentation and resources.
  • Variability in tumor presentation and symptoms complicating diagnosis.
  • Need for precise grading and staging information.
  • Multidisciplinary management requiring coordination among specialties.

Audit Risk Factors

  • Inadequate documentation of tumor grading and staging.
  • Failure to document the multidisciplinary approach to treatment.
  • Misclassification of benign versus malignant tumors.
  • Lack of clarity in the pathology report.

Specialty Focus

Medical Specialties

Oncology

Documentation Requirements

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

Common Clinical Scenarios

Diagnosis and management of MPNSTs, treatment response evaluation.

Billing Considerations

Ensure accurate staging and grading are documented for treatment planning.

Surgery

Documentation Requirements

Operative reports detailing tumor resection and margins.

Common Clinical Scenarios

Surgical intervention for tumor removal, assessment of nerve involvement.

Billing Considerations

Documenting the extent of resection and any complications.

Coding Guidelines

Inclusion Criteria

Use C47.6 When
  • According to ICD
  • 10 guidelines, C47
  • 6 should be used when the malignant neoplasm of the peripheral nerves of the trunk is confirmed, and no specific site is documented
  • Coders must ensure that the diagnosis is supported by pathology reports and clinical documentation

Exclusion Criteria

Do NOT use C47.6 When
No specific exclusions found.

Related ICD-10 Codes

Related CPT Codes

38542CPT Code

Excision of malignant tumor of peripheral nerve

Clinical Scenario

Used when a malignant peripheral nerve tumor is surgically excised.

Documentation Requirements

Operative report detailing the tumor's location, size, and margins.

Specialty Considerations

Ensure the surgical approach and any complications are documented.

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. C47.6 provides a distinct code for malignant peripheral nerve tumors, which aids in research and treatment planning.

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. C47.6 provides a distinct code for malignant peripheral nerve tumors, which aids in research and treatment planning.

Reimbursement & Billing Impact

reimbursement processes. C47.6 provides a distinct code for malignant peripheral nerve tumors, which aids in research and treatment planning.

Resources

Clinical References

  • •
    American Cancer Society - Peripheral Nerve Tumors

Coding & Billing References

  • •
    American Cancer Society - Peripheral Nerve Tumors

Frequently Asked Questions

What is the significance of grading in malignant peripheral nerve tumors?

Grading helps determine the aggressiveness of the tumor and guides treatment decisions. Higher-grade tumors typically require more aggressive treatment and have a poorer prognosis.