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C47 vs C49.A1

C47 (Malignant neoplasm of peripheral nerves and autonomic nervous system) compared with C49.A1 (Gastrointestinal stromal tumor of esophagus), from the official CMS tabular data. Both may be reported when both conditions are documented (Excludes2).

Can these codes be reported together?

Yes, when both are documented. C49.A1 carries an Excludes2 note covering C47: “malignant neoplasm of peripheral nerves and autonomic nervous system (C47.-)”

Excludes2 marks distinct conditions — both may be reported when both are documented.

Side by side

C47Malignant neoplasm of peripheral nerves and autonomic nervous systemC49.A1Gastrointestinal stromal tumor of esophagus
Billing statusNon-billable header

Report instead: C47.0, C47.10, C47.11, C47.12, C47.20

Billable
ClassificationC00-D49 — Neoplasms (C00-D49)C00-D49 — Neoplasms (C00-D49)
DefinitionMalignant neoplasm of peripheral nerves and autonomic nervous system is a non-billable ICD-10-CM category code (C47).Gastrointestinal stromal tumor of esophagus is a billable ICD-10-CM diagnosis code (C49.A1).
Includes
malignant neoplasm of sympathetic and parasympathetic nerves and ganglia
malignant neoplasm of blood vessel
malignant neoplasm of bursa
malignant neoplasm of cartilage
malignant neoplasm of fascia

Derived from the official CMS ICD-10-CM tabular data (FY2026). Not billing advice; verify sequencing rules for the encounter. All data sources