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C47.5 vs D36.16

C47.5 (Malignant neoplasm of peripheral nerves of pelvis) compared with D36.16 (Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis), from the official CMS tabular data. C47.5 and D36.16 name the same anatomical site (lumbosacral plexus) with a different neoplasm behavior. MedCoder-derived

Relationship

Informational

Neoplasm table relationship

C47.5
Malignant neoplasm of peripheral nerves of pelvis
D36.16
Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis

Same anatomical site, different neoplasm behavior.

Same site — benign neoplasm (lumbosacral plexus)

The behavior documented for the site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column of the neoplasm table, and therefore which code, applies.

Source: CMS Table of Neoplasms

Can these codes be reported together?

Same site, different neoplasm behavior. C47.5 and D36.16 name the same anatomical site (lumbosacral plexus) with a different neoplasm behavior.

From the CMS/CDC Table of Neoplasms: the behavior documented for that site — malignant primary, secondary, carcinoma in situ, benign, uncertain or unspecified — decides which column, and therefore which code, applies.

Side by side

C47.5Malignant neoplasm of peripheral nerves of pelvisD36.16Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis
Billing statusBillableBillable
ClassificationC00-D49 — NeoplasmsC00-D49 — Neoplasms
DefinitionMalignant neoplasm of peripheral nerves of pelvis is a billable ICD-10-CM diagnosis code (C47.5).Benign neoplasm of peripheral nerves and autonomic nervous system of pelvis is a billable ICD-10-CM diagnosis code (D36.16).
Includes
malignant neoplasm of sympathetic and parasympathetic nerves and ganglia

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