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C47 ICD-10-CM Code: Malignant neoplasm of peripheral nerves and autonomic nervous system

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FY 2026 Apr update / Neoplasms (C00-D49) / Malignant neoplasms of mesothelial and soft tissue (C45-C49)

C47

Header CodeICD-10-CMOfficial ICD-10-CMCodebook guidance

Malignant neoplasm of peripheral nerves and autonomic nervous system

Malignant neoplasm of peripheral nerves and autonomic nervous system

CMS-HCC V28

0

0

RAF 0

CMS-HCC V24

0

0

RAF 0

ACA/HHS

0

0

RAF 0

ESRD/PACE

0

0

RAF 0

RXHCC

0

0

RAF 0

Code Trumping

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Code Book Path

Official
C4Malignant neoplasms of mesothelial and soft tissue (C45-C49)
C47Malignant neoplasm of peripheral nerves and autonomic nervous system

Inclusion Terms

Official

ICD-10-CM does not list inclusion terms for C47 in this effective period.

Excludes 2

Official

ICD-10-CM does not list Excludes 2 notes for C47 in this effective period.

Related Child Codes

Official
C47.0Malignant neoplasm of peripheral nerves of head, face and neck
C47.1Malignant neoplasm of peripheral nerves of upper limb, including shoulder
C47.2Malignant neoplasm of peripheral nerves of lower limb, including hip
C47.3Malignant neoplasm of peripheral nerves of thorax
C47.4Malignant neoplasm of peripheral nerves of abdomen

Includes

Official
  • malignant neoplasm of sympathetic and parasympathetic nerves and ganglia

Excludes 1

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

Code First

Official

ICD-10-CM does not list Code First sequencing instructions for C47 in this effective period.

Use Additional

Official

ICD-10-CM does not list Use Additional Code instructions for C47 in this effective period.

Code Also

Official

ICD-10-CM does not list Code Also instructions for C47 in this effective period.

Last updated: FY2026 ICD-10-CM Apr update, Apr 1, 2026 through Sep 30, 2026. CMS-HCC V28 is 100% phased in for payment year 2026.

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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