C47.0: Malignant neoplasm of peripheral nerves of head, face and neck
C47.0 is a billable, specific ICD-10-CM code for malignant neoplasm of peripheral nerves of head, face and neck. It is valid for submission on a claim.
Check C47.0 with the rest of the claim: free scrubberExcludes1: never code together
These conditions cannot occur together. Billing both on the same encounter is a denial.
- malignant neoplasm of peripheral nerves of orbit (C69.6-)
Other codes that can never be billed with C47.0
Their own Excludes1 notes name this code, so the conflict is not listed above.
- C72Malignant neoplasm of spinal cord, cranial nerves and other parts of central nervous system
Risk adjustment
C47.0 risk-adjusts. Under the CMS-HCC V28 model it maps to this category:
- HCC 21 Lymphoma and Other Cancers0.671 RAF
Coefficient shown for the Community Non-dual Aged segment. A higher HCC in the same hierarchy will suppress this one, so capturing it does not always add score. Look up the whole chart to see which of its HCCs the hierarchy would zero.
Medicare coverage
C47.0 is named in 66 Medicare coverage policies: 66 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
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Code history
Unchanged in every release from FY2024 to FY2027.
Other codes under C47
- 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