2024 ICD-10-CM Diagnosis Code C47.1

Malignant neoplasm of peripheral nerves of upper limb, including shoulder

ICD-10-CM Code:
C47.1
ICD-10 Code for:
Malig neoplasm of prph nerves of upper limb, inc shoulder
Is Billable?
Not Valid for Submission
Code Navigator:

Code Classification

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

C47.1 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 of upper limb, including shoulder. The code is not specific and is NOT valid for the year 2024 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.

The following anatomical sites found in the Table of Neoplasms reference this diagnosis code given the correct histological behavior: Neoplasm, neoplastic brachial plexus ; Neoplasm, neoplastic nerve (ganglion) brachial ; Neoplasm, neoplastic nerve (ganglion) median ; Neoplasm, neoplastic nerve (ganglion) peripheral NEC antecubital fossa or space ; Neoplasm, neoplastic nerve (ganglion) peripheral NEC arm ; Neoplasm, neoplastic nerve (ganglion) peripheral NEC elbow ; Neoplasm, neoplastic nerve (ganglion) peripheral NEC extremity upper ; etc

Specific Coding Applicable to Malig neoplasm of prph nerves of upper limb, inc shoulder

Non-specific codes like C47.1 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 malig neoplasm of prph nerves of upper limb, inc shoulder:

  • 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

Clinical Information

  • Brachial Plexus

    the large network of nerve fibers which distributes the innervation of the upper extremity. the brachial plexus extends from the neck into the axilla. in humans, the nerves of the plexus usually originate from the lower cervical and the first thoracic spinal cord segments (c5-c8 and t1), but variations are not uncommon.
  • Brachial Plexus Block

    a blocking of neural conduction in the network of nerve fibers innervating the upper extremity.
  • Brachial Plexus Neuritis

    a syndrome associated with inflammation of the brachial plexus. clinical features include severe pain in the shoulder region which may be accompanied by muscle weakness and loss of sensation in the upper extremity. this condition may be associated with virus diseases; immunization; surgery; heroin use (see heroin dependence); and other conditions. the term brachial neuralgia generally refers to pain associated with brachial plexus injury. (from adams et al., principles of neurology, 6th ed, pp1355-6)
  • Brachial Plexus Neuropathies

    diseases of the cervical (and first thoracic) roots, nerve trunks, cords, and peripheral nerve components of the brachial plexus. clinical manifestations include regional pain, paresthesia; muscle weakness, and decreased sensation (hypesthesia) in the upper extremity. these disorders may be associated with trauma (including birth injuries); thoracic outlet syndrome; neoplasms; neuritis; radiotherapy; and other conditions. (from adams et al., principles of neurology, 6th ed, pp1351-2)

Table of Neoplasms

This code is referenced in the table of neoplasms by anatomical site. For each site there are six possible code numbers according to whether the neoplasm in question is malignant, benign, in situ, of uncertain behavior, or of unspecified nature. The description of the neoplasm will often indicate which of the six columns is appropriate.

Where such descriptors are not present, the remainder of the Index should be consulted where guidance is given to the appropriate column for each morphological (histological) variety listed. However, the guidance in the Index can be overridden if one of the descriptors mentioned above is present.

Neoplasm, neoplastic Malignant
Primary
Malignant
Secondary
CaInSitu Benign Uncertain
Behavior
Unspecified
Behavior
»Neoplasm, neoplastic
  »brachial plexus
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »brachial
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »median
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »antecubital fossa or space
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »arm
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »elbow
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »extremity
        »upper
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »finger
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »forearm
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »hand
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »limb NEC
        »upper
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »shoulder
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »thumb
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »peripheral NEC
      »wrist
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »radial
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »nerve (ganglion)
    »ulnar
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »plexus
C47.1C79.89 D36.12D48.2D49.2
»Neoplasm, neoplastic
  »plexus
    »brachial
C47.1C79.89 D36.12D48.2D49.2

Patient Education


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


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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.