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.
Excludes1 — 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-)
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.
Medicare coverage
C47.0 is named in 75 Medicare coverage policies — 75 listing it as supporting medical necessity. Which of them applies to you depends on your Medicare contractor, and coverage genuinely differs by state.
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Related codes at this level
Codes that share C47. If C47.0 is not quite right, the correct code is usually one of these.
- 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 C47.0
- Is C47.0 a billable ICD-10-CM code?
- Yes. C47.0 is a billable, specific ICD-10-CM code and is valid for submission on a claim.
- Where does C47.0 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 C47.0?
- C47.0 carries an Excludes1 note, which means the conditions it lists can never be coded together with it on the same encounter.