Version 2025

2025 ICD-10-CM Diagnosis Code C47

Malignant neoplasm of peripheral nerves and autonomic nervous system

ICD-10-CM Code:
C47
ICD-10 Code for:
Malignant neoplasm of prph nerves and autonomic nervous sys
Is Billable?
Not Valid for Submission
Code Navigator:

C47 is a non-specific and non-billable diagnosis code code, consider using a code with a higher level of specificity for a diagnosis of malignant neoplasm of peripheral nerves and autonomic nervous system. The code is not specific and is NOT valid for the year 2025 for the submission of HIPAA-covered transactions. Category or Header define the heading of a category of codes that may be further subdivided by the use of 4th, 5th, 6th or 7th characters.

Specific Coding Applicable to Malignant neoplasm of prph nerves and autonomic nervous sys

Non-specific codes like C47 require more digits to indicate the appropriate level of specificity. Consider using any of the following ICD-10-CM codes with a higher level of specificity when coding for malignant neoplasm of prph nerves and autonomic nervous sys:

  • Use C47.0 for Malignant neoplasm of peripheral nerves of head, face and neck - BILLABLE CODE

  • C47.1 for Malignant neoplasm of peripheral nerves of upper limb, including shoulder - NON-BILLABLE CODE

  • Use C47.10 for Malignant neoplasm of peripheral nerves of unspecified upper limb, including shoulder - BILLABLE CODE

  • Use C47.11 for Malignant neoplasm of peripheral nerves of right upper limb, including shoulder - BILLABLE CODE

  • Use C47.12 for Malignant neoplasm of peripheral nerves of left upper limb, including shoulder - BILLABLE CODE

  • C47.2 for Malignant neoplasm of peripheral nerves of lower limb, including hip - NON-BILLABLE CODE

  • Use C47.20 for Malignant neoplasm of peripheral nerves of unspecified lower limb, including hip - BILLABLE CODE

  • Use C47.21 for Malignant neoplasm of peripheral nerves of right lower limb, including hip - BILLABLE CODE

  • Use C47.22 for Malignant neoplasm of peripheral nerves of left lower limb, including hip - BILLABLE CODE

  • Use C47.3 for Malignant neoplasm of peripheral nerves of thorax - BILLABLE CODE

  • Use C47.4 for Malignant neoplasm of peripheral nerves of abdomen - BILLABLE CODE

  • Use C47.5 for Malignant neoplasm of peripheral nerves of pelvis - BILLABLE CODE

  • Use C47.6 for Malignant neoplasm of peripheral nerves of trunk, unspecified - BILLABLE CODE

  • Use C47.8 for Malignant neoplasm of overlapping sites of peripheral nerves and autonomic nervous system - BILLABLE CODE

  • Use C47.9 for Malignant neoplasm of peripheral nerves and autonomic nervous system, unspecified - BILLABLE CODE

Code Classification

  • Neoplasms
    (C00–D49)
    • Malignant neoplasms of mesothelial and soft tissue
      (C45-C49)
      • Malignant neoplasm of peripheral nerves and autonomic nervous system
        (C47)

Tabular List of Diseases and Injuries

The following annotation back-references are applicable to this diagnosis code. The Tabular List of Diseases and Injuries is a list of ICD-10-CM codes, organized "head to toe" into chapters and sections with coding notes and guidance for inclusions, exclusions, descriptions and more.


Includes

Includes
This note appears immediately under a three character code title to further define, or give examples of, the content of the category.
  • malignant neoplasm of sympathetic and parasympathetic nerves and ganglia

Type 1 Excludes

Type 1 Excludes
A type 1 excludes note is a pure excludes note. It means "NOT CODED HERE!" An Excludes1 note indicates that the code excluded should never be used at the same time as the code above the Excludes1 note. An Excludes1 is used when two conditions cannot occur together, such as a congenital form versus an acquired form of the same condition.
  • Kaposi's sarcoma of soft tissue C46.1

Patient Education


Autonomic Nervous System Disorders

Your autonomic nervous system is the part of your nervous system that controls involuntary actions, such as the beating of your heart and the widening or narrowing of your blood vessels. When something goes wrong in this system, it can cause serious problems, including:

  • Blood pressure problems
  • Heart problems
  • Trouble with breathing and swallowing
  • Erectile dysfunction in men

Autonomic nervous system disorders can occur alone or as the result of another disease, such as Parkinson's disease, alcoholism and diabetes. Problems can affect either part of the system, as in complex regional pain syndromes, or all of the system. Some types are temporary, but many worsen over time. When they affect your breathing or heart function, these disorders can be life-threatening.

Some autonomic nervous system disorders get better when an underlying disease is treated. Often, however, there is no cure. In that case, the goal of treatment is to improve symptoms.

NIH: National Institute of Neurological Disorders and Stroke


[Learn More in MedlinePlus]

Cancer

Cancer begins in your cells, which are the building blocks of your body. Normally, your body forms new cells as you need them, replacing old cells that die. Sometimes this process goes wrong. New cells grow even when you don't need them, and old cells don't die when they should. These extra cells can form a mass called a tumor. Tumors can be benign or malignant. Benign tumors aren't cancer while malignant ones are. Cells from malignant tumors can invade nearby tissues. They can also break away and spread to other parts of the body.

Cancer is not just one disease but many diseases. There are more than 100 different types of cancer. Most cancers are named for where they start. For example, lung cancer starts in the lung, and breast cancer starts in the breast. The spread of cancer from one part of the body to another is called metastasis. Symptoms and treatment depend on the cancer type and how advanced it is. Most treatment plans may include surgery, radiation and/or chemotherapy. Some may involve hormone therapy, immunotherapy or other types of biologic therapy, or stem cell transplantation.

NIH: National Cancer Institute


[Learn More in MedlinePlus]

Peripheral Nerve Disorders

What are peripheral nerves?

Nerves are like wires that carry messages back and forth between your brain and your body. Your peripheral nerves branch off from your brain and spinal cord and connect to all parts of your body, including your muscles and organs. Peripheral nerves carry messages from your brain that control your movement, breathing, heartbeat, digestion, and more. They also carry messages from your body to your brain, so you can feel things, such as pain, heat, and cold.

What are peripheral nerve disorders?

Peripheral nerve disorders happen when one or more peripheral nerves are damaged. Damaged nerves may not carry messages correctly, or they may not work at all. As a result, you may have pain, trouble walking, or a variety of other problems, depending on which nerves are involved.

Peripheral nerve disorders are very common. There are more than 100 different types.

What causes peripheral nerve disorders?

Many things can damage nerves and lead to peripheral nerve disorders:

  • Diabetes is the most common cause of peripheral nerve disorders. Most people with diabetes will develop diabetic nerve problems.
  • Physical injury (trauma) that stretches, crushes, squeezes, cuts, or puts pressure on one or more nerves. Some examples of peripheral nerve disorders from physical injury include complex regional pain syndrome and brachial plexus injuries.
  • Health conditions, including:
    • Certain cancers and their treatment (chemotherapy and radiation therapy).
    • Infections, such as HIV and Lyme disease.
    • Problems with blood or blood vessels.
    • Autoimmune diseases, such as rheumatoid arthritis and lupus.
    • Kidney or liver disease.
  • Certain medicines.
  • Contact with certain toxic substances, such as lead or mercury.
  • Alcohol use disorder (AUD) and smoking.
  • Vitamin imbalances, especially a lack of vitamin B12.
  • Your genes, including changes in your genes or conditions that you inherit from your parents, such as Charcot-Marie-Tooth disease.

In certain cases, the cause of peripheral nerve disorder is not known.

What are the symptoms of peripheral nerve disorders?

The symptoms of peripheral nerve disorders depend on which nerves are affected, what is causing the damage, and how serious it is:

Types of nerves Possible symptoms of nerve damage
Motor nerves control your muscles and all your movement, such as walking, talking, and using your hands.
  • Weak or aching muscles
  • Problems with balance, walking, or using your arms and hands
  • Cramps or twitching muscles
  • Muscle shrinking
Sensory nerves carry messages to your brain from your senses, including touch, hot and cold, and pain.
  • Tingling, numbness, or pain often in the hands and feet
  • Not being able to feel heat, cold, or pain, such as a cut on your foot
  • Pain from even light touch
Autonomic nerves send messages to your organs to control breathing, digestion, and other body functions that happen without thinking about them.
  • A heartbeat that's too fast or too slow
  • Trouble swallowing
  • Sweating too much or too little
  • Vomiting, diarrhea, or constipation
  • Problems with urination or sexual function


Symptoms may range from mild to very strong. They may develop quickly over days or slowly over months and years. But they are rarely life-threatening.

How are peripheral nerve disorders diagnosed?

To find out if you have a peripheral nerve disorder, your provider will:

  • Ask about your medical history
  • Ask about your family health history
  • Do a physical exam
  • Order tests, which may include:
    • Blood tests
    • Genetic tests
    • Nerve tests that measure:
      • Electrical activity in your nerves and muscles
      • How well your autonomic nerves are working
    • A biopsy of nerve or skin tissue
    • CT or MRI scan to see what may be pressing on your nerves

What are the treatments for peripheral nerve disorders?

It's important to treat any conditions that are causing nerve damage. In certain cases, that will allow your nerves to heal over time.

Treatment for symptoms depends on the type of peripheral nerve disorder you have, where it is, and how severe. Treatment options include:

  • Braces or splints
  • Over-the-counter patches and skin creams
  • Prescription medicines
  • Non-drug pain management, such as electrical stimulation or relaxation therapy
  • Surgery to relieve pressure on a nerve

Can peripheral nerve disorders be prevented?

You can help prevent peripheral nerve disorders by:

  • Managing health conditions that may cause nerve damage, especially diabetes
  • Preventing falls and accidents
  • Avoiding toxic substances
  • Being careful to avoid repeated motions and body positions that press on your nerves
  • Eating a balanced diet, exercising, limiting alcohol, and not smoking

NIH: National Institute of Neurological Disorders and Stroke


[Learn More in MedlinePlus]

Soft Tissue Sarcoma-Patient Version

Learn about soft tissue sarcoma risk factors, symptoms, tests to diagnose, factors affecting prognosis, staging, and treatment.
[Learn More in MedlinePlus]

Code History

  • FY 2024 - No Change, effective from 10/1/2023 through 9/30/2024
  • FY 2023 - No Change, effective from 10/1/2022 through 9/30/2023
  • FY 2022 - No Change, effective from 10/1/2021 through 9/30/2022
  • FY 2021 - No Change, effective from 10/1/2020 through 9/30/2021
  • FY 2020 - No Change, effective from 10/1/2019 through 9/30/2020
  • FY 2019 - No Change, effective from 10/1/2018 through 9/30/2019
  • FY 2018 - No Change, effective from 10/1/2017 through 9/30/2018
  • FY 2017 - No Change, effective from 10/1/2016 through 9/30/2017
  • FY 2016 - New Code, effective from 10/1/2015 through 9/30/2016. This was the first year ICD-10-CM was implemented into the HIPAA code set.