With regard to the potential future inclusion of SEID within ICD-10-CM:
ICD-10-CM is a "Clinical Modification" of the WHO's ICD-10.
Adapting ICD-10 for U.S. specific use has been the responsibility of NCHS (though all modifications to the ICD-10 must conform to WHO conventions for the ICD). It has
not been adapted by WHO, Geneva.
ICD-10-CM contains
no definitions or other textual descriptions.
ICD-10-CM is scheduled for implementation on October 1, 2015.
The
FY 2015 release of ICD-10-CM is available for viewing and is currently subject to a
partial code freeze.
During partial code freeze, only limited updates to the ICD-10-CM code sets to capture new technologies and diseases (for example, newly identified viruses or to incorporate corrections) can be considered.
Any code requests that do not meet the criteria for consideration for inclusion during a code freeze will be evaluated for implementation within ICD-10-CM on and after October 1, 2016 once the partial freeze has ended.
Submitting proposals for corrections, deletions, additions, creation of unique new codes, insertion of new inclusion terms to existing codes etc. is done through a public process via the
ICD-10-CM Coordination and Maintenance Committee meetings.
Suggestions for modifications to the ICD-10-CM code sets come from the public and private sectors, the coding industry, the APA (in respect of Chapter 5), NCHS, medical professional bodies, clinicians, patient organizations, individuals with an interest etc.
Interested parties must submit proposals for modification
prior to a scheduled meeting, within a certain date and in accordance with a
required format. Meetings are held in public, in March and September, and webcasts are available. A summary is posted a few weeks after the meeting.
The next meeting of the ICD-10-CM C & M Committee is March 18-19, 2015. The deadline for new proposals for the March meeting has already been reached (January 16, 2015).
The next meeting after the March meeting will take place on September 22-23, 2015.
A Tentative Agenda is posted around three weeks in advance of the meeting but this is often sketchy.
The full Agenda (referred to as the "Topic Packet" or "Proposals" document) isn't posted until the day before Day One of the meeting.
Day One is usually devoted to Procedure code proposals, though some Diagnosis code proposals may be reached on the first day, depending on how many items the Agenda contains.
Most of the Diagnosis coding proposals are presented on Day Two.
Members of the public requesting that topics be discussed at the September 22–23, 2015 Coordination and Maintenance Committee meeting must have requests submitted to CMS for Procedures and NCHS for Diagnoses by
July 17 and their proposals must be set out according to the required format.
Proposals for a new code should include:
- Description of the code(s)/change(s) being requested
- Rationale for why the new code/change is needed (including clinical relevancy)
- Supporting clinical references and literature should also be submitted.
Proposals should be consistent with the structure and conventions of the classification.
For proposal samples, see proposal documents from previous meetings in
Summary and Proposals.
Sometimes proposers will present their proposal, in person, at the meeting, and respond to any questions, comments or queries from the floor or from meeting chairs or other officials.
Sometimes proposals will be read out by a meeting official (CMS's Beth Fisher, CDC's Donna Pickett et al) on behalf of a requestor.
If at some point, IOM, NCHS, CDC or another body proposes the inclusion of SEID (or any other term) within ICD-10-CM, the public C & M Committee process is the procedure through which this would be done.
Comments, questions and queries can be made at the meeting by attendees and meeting officials, but there is a formal public comment period. The length of the public comment period varies from between just under a month to a couple of months.
For the September 22-23, 2015 meeting, the public comment periods are:
October 16, 2015: Deadline for receipt of public comments on proposed code revisions discussed at the September 22-23, 2015 ICD-10 Coordination and Maintenance Committee meetings for implementation on April 1, 2016.
November 13, 2015: Deadline for receipt of public comments on proposed code revisions discussed at the September 22-23, 2015 ICD-10 Coordination and Maintenance Committee meetings for implementation on October 1, 2016.
The Proposals document for the September 2014 meeting contains the
ICD-10-CM Timeline on Pages 2-6:
http://www.cdc.gov/nchs/data/icd/Topic_Packet_09_23_2012.pdf
This document also gives a feel of just how many proposals for modifications are submitted via these update and revision meetings and the format in which they are presented.