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www.who.int/entity/classifications/icd/en/GRNBOOK.pdf |
The ICD-10 proposals are thus a product of collaboration, in the true sense
of the word, between very many individuals and agencies in numerous countries.
They were produced in the hope that they will serve as a strong support
to the work of the many who are concerned with caring for the mentally ill
and their families, worldwide. |
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http://www.name-us.org/MECFSExplainPages/ForPatients.htm
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First-hand experience
from the editors and contributors to this website and anecdotal evidence
from many patients has shown that an ICD-9-CM 323.9 diagnosis in the U.S.,
(specifying Myalgic Encephalomyelitis; or ICD-10 G93.3 outside the U.S.)
may benefit patients in several ways. (See the
WHO
ICD Codes page for more details.) And if you are diagnosed
with CFS, are disabled by your symptoms and don't fit the
M.E. definitions,
there are steps you should take to make certain your diagnosis is correct.
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http://www.who.int/classifications/icd/icd10updates/en/ |
List of Official ICD-10 Updates
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http://au.geocities.com/me_not_cfs/US_ICD_10_CM.html
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The following are extracts from the US ICD-10 CM 2007(draft since 2003),
it should be noted that while postviral fatigue syndrome and benign myalgic
encephalomyeliyis are listed under the code G93.3 with chronic fatigue syndrome,postviral
is now removed(listed in 2003 draft), and the exclusion being,(NOT CODED
HERE) chronic fatigue syndrome NOS (R53.82). R53.82 is
the only listing for CFS, note that R53.82 excludes postviral fatigue syndrome
(G93.3)Another item of some interest is the listing for Neurasthenia, where
WHO ICD-10
codes under F48.0 and the US ICD-10 CM codes
neurasthenia
under F48.8, the WHO excludes malaise and fatigue (R53) postviral
fatigue syndrome (G93.3) while the US lists no exclusions.
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http://www.wrongdiagnosis.com/c/cfs
_subtype_7_pain_infectious_musculoskeletal_sleep_neurological
_gastrointestinal_neurocognitive_a/intro.htm
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The list of signs and symptoms mentioned in various sources for
CFS subtype 7 (pain, infectious,
musculoskeletal, sleep, neurological, gastrointestinal, neurocognitive,
anxiety/depression)
includes the 36 symptoms listed below:
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http://www.name-us.org/ICD%20Codes.htm
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We would encourage the classification of CFS as a 'Nervous System Disease,'
as worded in the ICD-10 G93.3" From the August 2005 meeting of the
CFSAC
at the DHHS (Department of Health & Human Services, USA) "CFS/ME should
be classed alongside other diseases such as multiple sclerosis and motor
neurone disease".
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The CISSD Project and
CFS/ME
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While
ICD is a classification of all diseases and disorders and is intended for
use worldwide, DSM is concerned with "Mental Disorders" only, and is primarily
designed for use in the USA. Nevertheless DSM has established a very high
reputation and is often used, both in Europe and internationally, in preference
to the ICD section on "Mental and Behavioural" Disorders.
CFS and the International Classifications
Despite claims to the contrary, the classification of CFS is still an open
issue. CFS and CFS/ME are not mentioned either in the latest edition of
ICD (ICD-10), or in the latest edition of DSM (DSM-IV).
It is true that in 2004 permission was given by the WHO for the UK to adapt
the WHO classification for the purposes of Primary Care in the UK and that
on this basis a classification has been produced for use in the UK which
lists CFS and CFS/ME as a neurological disorder. While many consider that
this is a step in the right direction, this classification is a UK adaptation
only and has not been formally adopted by the WHO. It has no validity in
other countries. No formal decision has yet been made by the WHO and it
is still an open question what the official WHO classification of CFS and
CFS/ME will be in the next revision. (See also App B.)
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http://au.geocities.com/me_not_cfs/US_ICD_10_CM.html
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Thus CFS is listed twice 1:CFS postviral(G93.3) and 2: cfs NOS (R53.82).Note
that R53.82 excludes postviral chronic fatigue (G93.3) and postviral fatigue
syndrome (G93.3)
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http://www.ahmf.org/g-phillips.html
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In panic disorder and generalised anxiety, fatigue is not a core feature.
In DSM IV, fatigue is not even mentioned in the diagnosis of panic disorder.
In Generalised Anxiety Disorder (GAD) "being easily fatigued" is only one
of many possible symptoms and does not have the same quality as the chronic
relentless nature of the fatigue in CFS.
The issue of
somatoform illness has been discussed earlier.
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http://www.mentalneurologicalprimarycare.org/downloads/
primary_care/connections_between_icd_10
_phc_and_icd_10_chapter_v.pdf
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Connections between ICD-10 PC and ICD-10 Chapter 5
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http://www.name-us.org/ICD%20Codes.htm
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"Recommendation 10: We would encourage the classification of CFS as a 'Nervous
System Disease,' as worded in the ICD-10 G93.3"
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http://www.cfsnova.com/whatscfs.html
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What are the diagnostic codes for CFS, FM, CFIDS, ME, and Lyme Disease?
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http://au.geocities.com/me_not_cfs/US_ICD_10_CM.html
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Icd codes
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http://www.pophealthmetrics.com/content/pdf/1478-7954-5-6.pdf
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How common is
chronic fatigue syndrome; how long is a piece of string?
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