C47
Malignant neoplasm of peripheral nerves and autonomic nervous system
C47 is a non-billable ICD-10-CM code category for malignant neoplasm of peripheral nerves and autonomic nervous system. Report a more specific code from it instead. It is part of the FY2027 code set, effective October 1, 2026. The more specific codes under it are C47.0 Malignant neoplasm of peripheral nerves of head, face and neck; C47.1 Malignant neoplasm of peripheral nerves of upper limb, including shoulder; C47.2 Malignant neoplasm of peripheral nerves of lower limb, including hip; C47.3 Malignant neoplasm of peripheral nerves of thorax and 5 more. Its coding notes include 1 Excludes1 entry.
Guidelines tip
From the FY2027 Official Guidelines. ICD10Ref adds no rules of its own.
A primary malignancy code stays in use until treatment directed at that site is completed. After that, with no evidence of disease at the site, Z85 gives the former site.
Excludes1
Not coded here. The listed conditions generally should not be reported together.
- Kaposi's sarcoma of soft tissue (C46.1)
Includes
Further defines or gives examples of the content of the category.
- malignant neoplasm of sympathetic and parasympathetic nerves and ganglia
Notes
Also from chapter/block level (8 notes)
- Functional activity
- All neoplasms are classified in this chapter, whether they are functionally active or not. An additional code from Chapter 4 may be used, to identify functional activity associated with any neoplasm.
- Morphology [Histology]
- Chapter 2 classifies neoplasms primarily by site (topography), with broad groupings for behavior, malignant, in situ, benign, etc. The Table of Neoplasms should be used to identify the correct topography code. In a few cases, such as for malignant melanoma and certain neuroendocrine tumors, the morphology (histologic type) is included in the category and codes.
- Primary malignant neoplasms overlapping site boundaries
- A primary malignant neoplasm that overlaps two or more contiguous (next to each other) sites should be classified to the subcategory/code .8 ('overlapping lesion'), unless the combination is specifically indexed elsewhere. For multiple neoplasms of the same site that are not contiguous, such as tumors in different quadrants of the same breast, codes for each site should be assigned.
- Malignant neoplasm of ectopic tissue
- Malignant neoplasms of ectopic tissue are to be coded to the site mentioned, e.g., ectopic pancreatic malignant neoplasms are coded to pancreas, unspecified (C25.9).
More specific codes under C47 9
- C47.0Malignant neoplasm of peripheral nerves of head, face and neckBillable
- C47.1Malignant neoplasm of peripheral nerves of upper limb, including shoulderHeader
- C47.2Malignant neoplasm of peripheral nerves of lower limb, including hipHeader
- C47.3Malignant neoplasm of peripheral nerves of thoraxBillable
- C47.4Malignant neoplasm of peripheral nerves of abdomenBillable
- C47.5Malignant neoplasm of peripheral nerves of pelvisBillable
- C47.6Malignant neoplasm of peripheral nerves of trunk, unspecifiedBillable
- C47.8Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous systemBillable
- C47.9Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecifiedBillable