A webcast of the entire CFSAC meeting with subtitles is now available to view at: http://videocast.nih.gov/PastEvents.asp Chronic Fatigue Syndrome Advisory Committee Monday, May 10, 2010 HHS Office on Womens Health (OWH) Total Running Time: 05:47:57 More information here: http://videocast.nih.gov/Summary.asp?File=15884 --------- I've watched only the last 15 minutes or so. Rather frustrating. Nancy Klimas appears to start talking about ICD-11 and ICD-10 and ICD-10-CM without having first made the distinction between the three systems for the benefit of the committee. Strictly speaking, she was incorrect to state that ICD-10-CM proposes to place CFS in the "psychiatric section" as we have already discussed. So when Lenny Jason sets out, correctly, that it is currently proposed to place CFS in the R codes (Chapter 18) confusion ensues amongst those present. It would have been preferable if Lenny J could have set out how PVFS, ME and CFS are represented in the current US modification; where it is proposed to code them in ICD-10-CM, what the concerns are, and how these proposed codes relate to international ICD-10 BEFORE Nancy Klimas spoke. Time was wasted disentangling. I didn't get the impression that Nancy K was fully conversant with the difference between US modifications and international ICD-10, and evidently not clear about which chapter of the forthcoming US CM it was proposed to code CFS in. That is not to say that the placing of CFS in Chapter 18 R codes is not problematic - but it is not correct to say that in placing it in Chapter 18 it is being placed under "psychiatric", since that is Chapter 5. It would have been helpful, perhaps, for Nancy K to have had print outs from the proposed ICD-10-CM for Chapter 6 and Chapter 18 with her, to refer to.