C47.10: Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder
C47.10 is a billable, specific ICD-10-CM code for malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder. It is valid for submission on a claim.
Check C47.10 with the rest of the claim: free scrubberOther codes that can never be billed with C47.10
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
C47.10 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
C47.10 is named in 33 Medicare coverage policies: 33 listing it as supporting medical necessity. Which one applies depends on your Medicare contractor.
- A52450Billing and Coding: Paclitaxel (e.g., Taxol®/Abraxane ™)
- A52479Oral Anticancer Drugs - Policy Article
- A56748Billing and Coding: White Cell Colony Stimulating Factors
- A56867Billing and Coding: Genomic Sequence Analysis Panels in the Treatment of Solid Organ Neoplasms
Code history
Unchanged in every release from FY2024 to FY2027.