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== ICD Diagnostic coding == '''ICD-10''' is the 10th revision of the ICD and was first published in 1992.<ref name="Barr2016">{{Cite journal | last =Manchikanti | first = L. | last2 = Chittle | first2 = M. D. | last3 = Barr | first3=R.M. | last4 = Liu | first4 = R.W. | last5 = McGinty | first5 = G. | last6 = Nicola | first6 = G. | last7 = Hirsch | first7 = J.A. | date = 2016-04-01 | title = ICD-10: History and Context|url=http://www.ajnr.org/content/37/4/596|journal=American Journal of Neuroradiology|language=en|volume=37|issue=4|pages=596β599|doi=10.3174/ajnr.A4696|issn=0195-6108|pmid=26822730}}</ref> The ICD-11 was published in July 2018, but is not implemented in most countries at present.<ref name="icd11" /> Different countries' government healthcare systems might use different codes depending on their interpretation of some diseases, illnesses, and syndromes but still working within the ICD code structure. When using [https://www.icd10data.com/ ICD10Data.com], certain pages will display a country's flag indicating the diagnostic coding used by that nation's healthcare system.<ref>[https://www.icd10data.com/ICD10CM/Codes/R00-R99/R50-R69/R53-/R53.82 Chronic Fatigue Syndrome - ICD10data.com]</ref> Additionally, a country does not have to officially implement the latest ICD release; the [[United States]] delayed the implementation of ICD-10 for over 20 years before implementing it's own WHO-approved adaption, the ICD-10-CM.<ref>[https://www.webpt.com/blog/post/history-icd-10 The History of ICD10 - WebPT]</ref><ref name="Manchikanti2015">{{Cite journal | last =Manchikanti | first = Laxmaiah | last2 = Kaye | first2 = Alan D. | last3 = Singh | first3 = Vijay | last4 = Boswell | first4 = Mark V. | date = Jul 2015 | title = The Tragedy of the Implementation of ICD-10-CM as ICD-10: Is the Cart Before the Horse or Is There a Tragic Paradox of Misinformation and Ignorance?|url=https://www.ncbi.nlm.nih.gov/pubmed/26218946/|journal=Pain Physician|volume=18|issue=4| pages = E485β495|issn=2150-1149|pmid=26218946}}</ref><ref name="bigpicture">{{Cite web|url=https://contemporaryclinic.pharmacytimes.com/news-views/appreciating-the-big-picture-of-icd-10 | title = Appreciating the Big Picture of ICD-10 | website = contemporaryclinic.pharmacytimes.com|access-date=2019-04-13}}</ref> ===Myalgic encephalomyelitis=== ==== ICD-10-CM ==== '''United States''' *'''G93.3''' [[Postviral fatigue syndrome]] and benign [[myalgic encephalomyelitis]].<ref name="icd11" /><ref>[https://www.icd10data.com/ICD10CM/Index/E/Encephalomyelitis Encephalomyelitis - ICD10 Data.com]</ref> '''ICD-10-CM G93.3 is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):''' :*947 Signs and symptoms with mcc :*948 Signs and symptoms without mcc Convert G93.3 to ICD-9-CM Code History :*2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) :*2017 (effective 10/1/2016): No change :*2018 (effective 10/1/2017): No change Code annotations containing back-references to G93.3: :*Type 1 Excludes: A85, R53.82 :*Type 2 Excludes: G04 Diagnosis Index entries containing back-references to G93.3: :*Akureyri's disease G93.3 :*Disease, diseased - see also Syndrome :::Iceland G93.3 :*Encephalomyelitis G04.90 - see also Encephalitis :::[https://www.icd10data.com/ICD10CM/Codes/G00-G99/G89-G99/G93-/G93.3 '''benign myalgic G93.3'''] :::myalgic, benign G93.3 :*Neuromyasthenia G93.3 (epidemic) (postinfectious) :*Syndrome - see also Disease :::postviral NEC G93.3 ::::[[fatigue]] G93.3<ref name="icd10data">{{Cite web|url=https://www.icd10data.com/ICD10CM/Codes/G00-G99/G89-G99/G93-/G93.3 | title = 2019 ICD-10-CM Diagnosis Code G93.3: Postviral fatigue syndrome|website=icd10data.com|access-date=2019-04-13}}</ref> ====<span id="ICD11">ICD-11 (2018)</span>==== *'''<u>8E49 Postviral fatigue syndrome</u>''' '''All ancestors up to top''' *08 Diseases of the nervous system :*Other disorders of the nervous system ::*8E49 Postviral fatigue syndrome '''Inclusions''' ::*Benign myalgic encephalomyelitis ::*chronic fatigue syndrome<ref name="icd11" /> The ICD-11 no longer has a fatigue syndrome of any kind in the "Mental and Behavioral Disorders" section. [[Neurasthenia]] is not mentioned in any section. In response to the [[Wessely school|Wessely school's]] textbook which incorrectly stated that [[chronic fatigue syndrome]] (CFS) can be classed as a mental disorder, Audre L'Hours from WHO has stated that a disorder can only be classed under one rubic, and that all WHO countries must follow the WHO classification of CFS or ME as a [[Nervous system|neurologica]]l disorder only.<ref>{{Cite web|url=https://publications.parliament.uk/pa/ld200304/ldhansrd/vo040122/text/40122-12.htm | title = Lords Hansard text for 22 Jan 2004 (240122-12) | last =Westminster | first=Department of the Official Report (Hansard), House of Lords|website=publications.parliament.uk|access-date=2018-10-14}}</ref> Dr Tarun Dua proposed moving Myalgic Encephalomyelitis from the [[:Category:Neurological diseases and disorders|Neurological Disorders]] section to ''Symptoms, signs or clinical findings of the musculoskeletal system'', which would have re-classified ME/CFS as [[medically unexplained physical symptoms]] rather than a specific, neurological disease: this proposal was rejected.<ref>{{Cite news | url=https://dxrevisionwatch.com/2018/11/22/update-on-the-status-of-the-classification-of-pvfs-me-and-cfs-for-icd-11-part-three-who-rejects-dr-duas-proposal/ | title = Update on the status of the classification of PVFS, ME and CFS for ICD-11: Part Three: WHO rejects Dr Duaβs proposal | last =DX Revision Watch | first = | date = 2018-11-22|work=|access-date=2018-11-23|archive-url=|archive-date=|url-status=|language=en-US}}</ref> ===Chronic fatigue syndrome=== ==== ICD-10-CM ==== '''United States''' *'''R53.82''' is for [[Chronic fatigue]], unspecified under ICD-10-CM Diagnosis Code.<ref name=":1" /> '''R53.82 (ICD-10-CM) is grouped within Diagnostic Related Group(s) (MS-DRG v35.0):''' :*947 Signs and symptoms with mcc :*948 Signs and symptoms without mcc :Convert R53.82 to ICD-9-CM :Code History :*2016 (effective 10/1/2015): New code (first year of non-draft ICD-10-CM) :*2017 (effective 10/1/2016): No change :*2018 (effective 10/1/2017): No change :Code annotations containing back-references to R53.82: :*Type 1 Excludes: G93.3 :Diagnosis Index entries containing back-references to R53.82: :*Fatigue R53.83 :::chronic R53.82 :*Syndrome - see also Disease :::fatigue ::::chronic R53.82<ref name=":1">{{Cite web|url=https://www.icd10data.com/ICD10CM/Codes/R00-R99/R50-R69/R53-/R53.82 | title = 2018/2019 ICD-10-CM Diagnosis Code R53.82: Chronic fatigue, unspecified|website=icd10data.com|language=en|access-date=2018-10-14}}</ref> ==== ICD-11 (2019) ==== *'''<u>8E49 Postviral fatigue syndrome</u>''' '''All ancestors up to top''' *08 Diseases of the nervous system :*Other disorders of the nervous system ::*8E49 Postviral fatigue syndrome '''Inclusions''' ::*Benign myalgic encephalomyelitis ::*chronic fatigue syndrome<ref name="icd11" />
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