Deadline for comments on ICD-10-CM Today, July 15

[WillowJ]

I intended to post a lot sooner, but somewhere I lost some days this week

at any rate, there's going to be a meeting this September about the USA's Clinical Modifications to the ICD code.

Currently the ME/CFS situation is this:

ME is coming back to the US's coding system, more or less. It is called Post Viral Fatigue Syndrome, but is noted as also called myalgic encephalomyelitis, and will be coded G93.3, but is described the same way as Fukuda-CFS. Doctors will be told this is a conversion from ICD-9-CM's 780.79, "other malaise and fatigue"

Description:

ICD-10-CM Diagnosis Code G93.3
Postviral fatigue syndrome
distinctive syndrome characterized by chronic fatigue, mild fever, lymphadenopathy, headache, myalgia, arthralgia, depression, and memory loss; candidate etiologic agents include Epstein-Barr and other herpesviruses.

Syndrome thought to be caused by a viral organism resulting in chronic fatigue, fever, pain, sore throat, and, in some cases, depression.

A syndrome of unknown etiology. Chronic fatigue syndrome (CFS) is a clinical diagnosis characterized by an unexplained persistent or relapsing chronic fatigue that is of at least six months' duration, is not the result of ongoing exertion, is not substantially alleviated by rest, and results in substantial reduction of previous levels of occupational, educational, social, or personal activities.

Common concurrent symptoms of at least six months duration include impairment of memory or concentration, diffuse pain, sore throat, tender lymph nodes, headaches of a new type, pattern, or severity, and nonrestorative sleep. The etiology of CFS may be viral or immunologic. Neurasthenia and fibromyalgia may represent related disorders. Also known as myalgic encephalomyelitis.

G93.3 is a billable ICD-10-CM code that can be used to specify a diagnosis.
On October 1, 2013 ICD-10-CM will replace ICD-9-CM in the United States, therefore, G93.3 and all ICD-10-CM diagnosis codes should only be used for training or planning purposes until then.

Applicable To
Benign myalgic encephalomyelitis

Type 1 Excludes
chronic fatigue syndrome NOS (R53.82)

Current ICD-9-CM for the Chronic Fatigue Syndrome, 780.71: doctors will be told this converts to ICD-10-CM R53.82 "Chronic fatigue, unspecified"


ICD-9-CM is described:

Chronic fatigue syndrome
distinctive syndrome characterized by chronic fatigue, mild fever, lymphadenopathy, headache, myalgia, arthralgia, depression, and memory loss; candidate etiologic agents include Epstein-Barr and other herpesviruses.

Syndrome thought to be caused by a viral organism resulting in chronic fatigue, fever, pain, sore throat, and, in some cases, depression.

A syndrome of unknown etiology. Chronic fatigue syndrome (CFS) is a clinical diagnosis characterized by an unexplained persistent or relapsing chronic fatigue that is of at least six months' duration, is not the result of ongoing exertion, is not substantially alleviated by rest, and results in substantial reduction of previous levels of occupational, educational, social, or personal activities.

Common concurrent symptoms of at least six months duration include impairment of memory or concentration, diffuse pain, sore throat, tender lymph nodes, headaches of a new type, pattern, or severity, and nonrestorative sleep. The etiology of CFS may be viral or immunologic. Neurasthenia and fibromyalgia may represent related disorders. Also known as myalgic encephalomyelitis.

ICD-9-CM 780.71 converts directly to:
2011 ICD-10-CM R53.82 Chronic fatigue, unspecified

ICD-10-CM R53.82 Chronic fatigue, unspecified

ICD-10-CM Diagnosis Code R53.82
Chronic fatigue, unspecified
R53.82 is a specific ICD-10-CM diagnosis code that can be used to specify a diagnosis.
ICD-9-CM will be replaced by ICD-10-CM beginning October 1, 2013, therefore, R53.82 and all other ICD-10-CM diagnosis codes should only be used for training or planning purposes until then.
Applicable To
Chronic fatigue syndrome NOS
Type 1 Excludes
postviral fatigue syndrome (G93.3)
ICD-10-CM R53.82 is part of Diagnostic Related Group(s) (MS-DRG v28.0):
947 Signs & symptoms with mcc
948 Signs & symptoms without mcc
Convert ICD-10-CM R53.82 to ICD-9-CM
The following ICD-10-CM Index entries contain back-references to ICD-10-CM R53.82:
Fatigue R53.83
chronic R53.82
Syndrome - see also Disease
fatigue
chronic R53.82

nothing is said about what "chronic fatigue, unspecified" actually is, unless "MS-DRG v28.0" is some kind of clue.

 

[WillowJ]

regardless of what is found out in research, etc., we will be stuck with ICD-10-CM--and with the messages it sends to the medical community--for quite some time

 

[WillowJ]

I forgot to include info for participation in the International Classification of Disease (ICD) Coordination and Maintenance Committee meeting (meets next in September, but you must act today to be timely--I got this info very recently but apologize for not putting it up a few days ago instead of today)

how to participate here: www.cdc.gov/nchs/icd/icd9cm_maintenance.htm