C47
C47 — Malignant neoplasm of peripheral nerves and autonomic nervous system
Non-billable headerICD-10-CM
C47 is a non-billable header ICD-10-CM code for malignant neoplasm of peripheral nerves and autonomic nervous system. It cannot be billed on its own: choose one of the more specific child codes below.
Excludes1 — never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- Kaposi's sarcoma of soft tissue (C46.1)
Includes
Conditions this code covers.
- malignant neoplasm of sympathetic and parasympathetic nerves and ganglia
Other codes that can never be billed with C47
These codes carry an Excludes1 note pointing at C47. The conflict binds both ways, but ICD-10-CM only writes it down on one side — so you would not find this by reading C47 alone.
- C72Malignant neoplasm of spinal cord, cranial nerves and other parts of central nervous system
Risk adjustment
C47 does not map to an HCC and does not risk-adjust under CMS-HCC V28. That is normal — most ICD-10 codes do not. It still needs to be coded correctly; it just will not move a RAF score.
Code to one of these instead C47
9 child codes. Green means billable.
- C47.0Malignant neoplasm of peripheral nerves of head, face and neck
- C47.1Malignant neoplasm of peripheral nerves of upper limb, including shoulder
- C47.2Malignant neoplasm of peripheral nerves of lower limb, including hip
- C47.3Malignant neoplasm of peripheral nerves of thorax
- C47.4Malignant neoplasm of peripheral nerves of abdomen
- C47.5Malignant neoplasm of peripheral nerves of pelvis
- C47.6Malignant neoplasm of peripheral nerves of trunk, unspecified
- C47.8Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system
- C47.9Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified
Questions about C47
- Is C47 a billable ICD-10-CM code?
- No. C47 is a non-billable header code. Code to a higher level of specificity using one of its child codes.
- Where does C47 sit in the tabular list?
- Neoplasms (C00-D49), in the block Malignant neoplasms of mesothelial and soft tissue (C45-C49).
- What cannot be coded together with C47?
- C47 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.