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C47

Non-Billable (Header)

Malignant neoplasm of peripheral nerves and autonomic nervous system

Last updated: FY2026 ICD-10-CM (Oct 1, 2025 – Sep 30, 2026) | CMS-HCC V28 (100% phase-in, PY2026)

What This Code Means

C47 is the ICD-10-CM diagnosis code for malignant neoplasm of peripheral nerves and autonomic nervous system. C47 sits in the ICD-10-CM chapter for neoplasms (c00-d49), within the section covering malignant neoplasms of mesothelial and soft tissue (c45-c49).

Header codes like C47 cannot be reported on claims directly — they organize child codes that share clinical context but the actual diagnosis must be coded to the highest level of specificity supported by the documentation. Coders should look at C47's child codes and select the one that matches the patient's documented presentation, since payers reject header codes submitted as the primary diagnosis. For risk adjustment workflows, header codes never contribute to a Medicare Advantage member's RAF score on their own; only billable child codes that happen to map to a payment HCC affect risk-adjusted plan payments.

HCC Buddy maintains structured V28 and V24 mapping, RAF weights, and MEAT documentation criteria for C47 sourced directly from the CMS-HCC risk adjustment model files and the CMS ICD-10-CM code set.

Includes

  • malignant neoplasm of sympathetic and parasympathetic nerves and ganglia

Excludes 1 — Do NOT code together

  • Kaposi's sarcoma of soft tissue (C46.1)

Child Codes

Code Hierarchy

C47Malignant neoplasm of peripheral nerves and autonomic nervous system
C47Malignant neoplasm of peripheral nerves and autonomic nervous system

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