Tag: dx revision watch

ME agenda: update on status of this site

ME agenda: update on status of this site

This site was created in June 2007 for ME patients, carers and advocates and provided information, resources and commentary on the political issues affecting the lives of UK Myalgic encephalomyelitis (ME) patients.

In 2009, my primary advocacy focus shifted towards monitoring the development of DSM-5* (published May 2013) and ICD-11 (currently scheduled for presentation for World Health Assembly approval in 2018).

In 2010, I created Dx Revision Watch (originally DSM-5 and ICD-11 Watch) specifically for monitoring the development of these two classification systems.

ME agenda site will remain online for its post archives (Post Index to approximately 980 posts) and for occasional, important information relating specifically to DSM-5, ICD-11 and ICD-10-CM.

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I have a number of other WordPress.com sites:

http://suzychapman.wordpress.com/ status: Extension site for Dx Revision Watch for occasional, selected material.

Twenty-six soldiers of lead status: Extension site to ME agenda for occasional, selected material.

Read ME UK Events status: Archived.

Read ME UK Events was created in March 2008 in response to the considerable concerns surrounding the April 2008 Royal Society of Medicine conference on “Chronic Fatigue Syndrome” and to promote the various protests that were staged.

ME agenda site has been running on the now retired WordPress.com Themes, Garland and Enterprise.  The site is now running on WordPress.com Theme Franklin.

Suzy Chapman can be contacted via the Dx Revision Watch Contact page

Follow Dx Revision Watch on Twitter @dxrevisionwatch

*DSM; DSM-IV; DSM-IV-TR; DSM-IV-PC; DSM-V; DSM V; DSM-5; DSM 5 are registered trademarks of the American Psychiatric Association

Next Meeting of the ICD-9-CM Coordination and Maintenance Committee

Next Meeting of the ICD-9-CM Coordination and Maintenance Committee

The next meeting of the ICD-9-CM Coordination and Maintenance Committee is announced for September 19, 2012 and a tentative agenda issued. The Committee is co-chaired by CMS and CDC.

ICD-10-CM is a US specific modification of the WHO’s ICD-10 and not yet implemented. (When ICD-10-CM has been implemented, the Committee will be known as the ICD-10-CM Coordination and Maintenance Committee.)

The current proposal for the compliance date for some entities for adoption of ICD-10-CM is that the deadline be delayed for a further year, from October 1, 2013 to October 1, 2014, to allow more time for US clinical practices and the healthcare industry to prepare for transition from ICD-9-CM to ICD-10-CM. The public comment period on this proposal closed in June and a final rule for compliance has yet to be announced.

Coding of Chronic fatigue syndrome within the forthcoming ICD-10-CM

Discussion of the location of Chronic fatigue syndrome in ICD-10-CM is tabled on the tentative agenda for the September 19 meeting.

At the September 14, 2011 meeting of the ICD-9-CM Coordination and Maintenance Committee, a presentation was made on behalf of the Coalition 4 ME/CFS.

A proposal had been submitted by the Coalition that consideration be given to moving the classification of Chronic fatigue syndrome from the R code chapter (Symptoms and signs) of ICD-10-CM to the G code chapter (Diseases of the nervous system).

This would bring the chapter location and parent class coding of Chronic fatigue syndrome in line with ICD-10 and the Canadian ICD-10-CA.

Proposals for the forthcoming ICD-11 have Chronic fatigue syndrome, Postviral fatigue syndrome and ME classified under the G codes, within Chapter 6 Diseases of the nervous system, with Chronic fatigue syndrome designated as an ICD-11 Title term and ME specified as an Inclusion term to Chronic fatigue syndrome.

Various suggestions were discussed at the meeting as to how the three terms should be coded if Chronic fatigue syndrome were moved to the G codes chapter. No decision has been conveyed following closure of the public comment period for the meeting.

Further discussion of the location of Chronic fatigue syndrome in ICD-10-CM has been tabled on the tentative agenda for the September 19, 2012 meeting. I will post Summary documents and other relevant meeting materials as these become available.

There are three posts on Dx Revision Watch that relate to the Coalition’s presentation at the September 14, 2011 meeting:

Coding CFS in ICD-10-CM: CFSAC and the Coalition4ME/CFS initiative

Extracts: ICD-9-CM Coordination and Maintenance Committee Meeting Summary document (CFS coding)

Extracts: ICD-9-CM Coordination and Maintenance Committee Meeting September 14, 2011 (Coding of CFS in ICD-10-CM)

For further information on this public process see the CDC website page:

ICD-9-CM Coordination and Maintenance Committee

Upcoming meeting: September 19, 2012

Tentative Agenda

https://www.federalregister.gov/articles/2012/08/15/2012-20019/notice-of-meeting-of-the-icd-9-cm-coordination-and-maintenance-committee

A Notice by the Centers for Disease Control and Prevention

Notice of Meeting of the ICD-9-CM Coordination and Maintenance Committee

The National Center for Health Statistics (NCHS), Classifications and Public Health Data Standards Staff announces the following meeting:

Name: ICD-9-CM Coordination and Maintenance (C&M) Committee meeting.

Time and Date: 9 a.m.-5 p.m., September 19, 2012.

Place: Centers for Medicare and Medicaid Services (CMS) Auditorium, 7500 Security Boulevard, Baltimore, Maryland 21244.

Status: Open to the public, limited only by the space available. The meeting room accommodates approximately 240 people.

Security Considerations: Due to increased security requirements CMS has instituted stringent procedures for entrance into the building by non-government employees. Attendees will need to present valid government-issued picture identification, and sign-in at the security desk upon entering the building. Attendees who wish to attend a specific ICD-9-CM C&M meeting on September 19, 2012, must submit their name and organization by September 10, 2012, for inclusion on the visitor list. This visitor list will be maintained at the front desk of the CMS building and used by the guards to admit visitors to the meeting.

Participants who attended previous ICD-9-CM C&M meetings will no longer be automatically added to the visitor list. You must request inclusion of your name prior to each meeting you attend.

Please register to attend the meeting on-line at: http://www.cms.hhs.gov/apps/events/.Show citation box

Please contact Mady Hue (410-786-4510 or Marilu.hue@cms.hhs.gov ), for questions about the registration process.

Matters To Be Discussed: Tentative agenda items include: September 19, 2012.

ICD-10 Topics:
ICD-10 Implementation Announcements
Expansion of Thoracic Aorta Body Part Under Heart and Great Vessels System
Addendum Issues (Temporary Therapeutic Endovascular Occlusion of Vessel, changing body part from thoracic aorta to abdominal aorta)
ICD-10MS-DRGs
ICD-10HAC Translations
ICD-10MCE Translations

ICD-10-CM Diagnosis Topics:
Age related macular degeneration
Bilateral mononeuropathy
Bilateral option for cerebrovascular codes
Chronic Fatigue Syndrome
Complications of urinary devices
Diabetic macular edema
Food Protein Induced Enterocolitis Syndrome (FPIES)
Maternal care for previous Cesarean section/previous uterine incision
Metatarsus varus (congenital metatarsus adductus)
Microscopic colitis
Mid-cervical region and coding of spinal cord injuries
Multifocal motor neuropathy
Parity to supervision of pregnancy codes
Proliferative diabetic retinopathy
Retinal vascular occlusions
Salter Harris fractures
Sesamoiditis
Shin splints
Spontaneous rupture/disruption of tendon

Agenda items are subject to change as priorities dictate.

Note:

CMS and NCHS will no longer provide paper copies of handouts for the meeting. Electronic copies of all meeting materials will be posted on the CMS and NCHS Web sites prior to the meeting at http://www.cms.hhs.gov/ICD9ProviderDiagnosticCodes/03_meetings.asp# and http://www.cdc.gov/nchs/icd/icd9cm_maintenance.htm

Contact Persons for Additional Information: Donna Pickett, Medical Systems Administrator, Classifications and Public Health Data Standards Staff, NCHS, 3311 Toledo Road, Room 2337, Hyattsville, Maryland 20782, email dfp4@cdc.gov :, telephone 301-458-4434 (diagnosis); Mady Hue, Health Insurance Specialist, Division of Acute Care, CMS, 7500 Security Boulevard, Baltimore, Maryland 21244, email marilu.hue@cms.hhs.gov , telephone 410-786-4510 (procedures).

The Director, Management Analysis and Services Office, has been delegated the authority to sign Federal Register notices pertaining to announcements of meetings and other committee management activities, for both the Centers for Disease Control and Prevention, and the Agency for Toxic Substances and Disease Registry.

Dated: August 9, 2012.

Catherine Ramadei,

Acting Director, Management Analysis and Services Office, Centers for Disease Control and Prevention.

[FR Doc. 2012-20019 Filed 8-14-12; 8:45 am]

BILLING CODE 4160-18-P

(c) 2012 US Federal Register

New Twitter address and new domain for Dx Revision Watch

New Twitter address and new domain for Dx Revision Watch

Please note the domain for the sister site, Dx Revision Watch, has changed to

http://dxrevisionwatch.com

Previous links to posts and pages are being mapped across to the new domain but you may like to update Bookmarks and update links to the Home Page on websites and blogs.

The Twitter page associated with both sites has also changed from

http://twitter.com/meagenda

to

http://twitter.com/dxrevisionwatch

@dxrevisionwatch

Recent posts on Dx Revision Watch: ICD-11 Beta draft updates

Recent posts on Dx Revision Watch: ICD-11 Beta draft updates, DSM-5 Development site

Changes to ICD-11 Beta drafting platform: Bodily Distress Disorders (1)

Post #190 Shortlink: http://wp.me/pKrrB-2jB

This report updates on recent changes to the Somatoform Disorders section of the ICD-11 Beta drafting platform.

 

ICD-11 Beta drafting platform: Update (2):

Neurasthenia, Postviral fatigue syndrome (PVFS), Benign myalgic encephalomyelitis (ME), Chronic fatigue syndrome (CFS), Fibromyalgia (FM), Irritable bowel syndrome (IBS)

Post #193 Shortlink:http://wp.me/pKrrB-2mC

The report in this post updates on current proposals for the ICD-11 Beta drafting platform for revision of the following ICD-10 categories: Neurasthenia, Postviral fatigue syndrome (PVFS), Benign myalgic encephalomyelitis (ME), Chronic fatigue syndrome (CFS), Fibromyalgia (FM) and Irritable bowel syndrome (IBS) for the full version of ICD-11…

 

ICD-11 Revision Beta drafting process: stakeholder participation

Post #194 Shortlink:http://wp.me/pKrrB-2nw

 

Changes to content on DSM-5 Development site (1)

Post #189 Shortlink:http://wp.me/pKrrB-2jn

Content embargo

According to American Psychiatric Association’s (APA) recently published, highly restrictive DSM-5 Permissions Policy – following closure of the third and final public review, the content of DSM-5 will be under strict embargo until the manual is published…

WordPress site glitch when viewed in Internet Explorer (IE8) and Internet Explorer (IE9)

WordPress site glitch when viewed in Internet Explorer (IE8) and Internet Explorer (IE9)

Update at July 16: WordPress has now fixed these issue with Garland theme.

This site (and my Dx Revision Watch site) run on the WordPress theme (template) Garland with the Custom Design upgrade which means I can modify Garland theme’s CSS.

On Thursday or Friday, WordPress implemented changes to some blog templates that enabled “infinite scrolling” – a site wide change being applied to WordPress themes that are suitable for its implementation.

Instead of displaying (in my case) the ten most recent posts, with the need to click for the next ten posts, “infinite scroll” automatically loads more posts.

I have deselected for this feature – I don’t like it and I don’t want it – so you won’t see many changes to the way in which the site functions.

You will see a button at the end of the tenth post for Load more posts and a link for Older posts and Newer posts. You can continue to access archived posts from the monthly Archive links in the right hand column.

There should be no problem when viewing the site in Chrome or Firefox. But there is currently a problem with Internet Explorer 8 and 9 (IE8 and IE9) which may be related to these recent changes or may be a separate issue.

This issue is affecting users of Garland theme and possibly some other themes.

If you are viewing this site in Internet Explorer 8 or 9 you are likely to see the following issues:

The site titles for both sites may be slow to load or may not load at all or unless the page is refreshed.

You may see no links at the bottom of the tenth most recent post for Older posts and Newer posts though you should see a button for Load more posts.

Down the right hand column, the Search box, Twitter feed, Recent Posts, Links, Archives and Meta are all displaying over in the left side column, and right at the bottom of the page, so you’ll need to scroll right down to locate these.

The default font for posts on this site is Verdana. Occasionally a post on Dx Revision Watch has been uploaded in Georgia and this may display for you in a larger font size than intended, for example this post Somatic Symptom Disorder criteria could capture millions more under mental health diagnosis.

Unfortunately WordPress Support appears to be closed until Monday, July 23, so this may take some time to get sorted.

In the meantime, if you have Chrome or Firefox browsers loaded please consider using these.

 

Links for WordPress users seeking more information

WordPress Support notice about “infinite scroll”:

http://en.forums.wordpress.com/topic/to-infinity?replies=137
http://en.blog.wordpress.com/2012/06/12/to-infinity-and-beyond/

Blogger timethief:

http://onecoolsitebloggingtips.com/2012/03/16/disabling-infinite-scroll-on-your-wordpress-com-blog/

Blogger wordpress tips:

http://wpbtips.wordpress.com/2012/06/05/disabling-infinite-scrolling/

(A very useful site for WordPress.com users on themes, html, formatting, tweaks and workarounds.)

WordPress Forums:

http://en.forums.wordpress.com/topic/problems-with-viewing-blog-in-internet-explorer?replies=19#post-942283

 

Update One from Dx Revision Watch January, 2012

Update One from Dx Revision Watch January, 2012

Dx Revision Watch
http://dxrevisionwatch.wordpress.com/

18 January 2012

When is the third and final public review of proposals for DSM-5 expected?

No firm date as yet. The DSM-5 Timeline still has a third and final review listed for January-February, for a two month long stakeholder review and comment period [2].

This information is outdated.

The APA has announced that its field trials are running behind schedule and some trials won’t now be completed until March, this year.

The third and final draft is now expected to be released for public review and comment, “no later than May 2012″, according to DSM-5 Task Force Vice-chair, Darrel Regier, MD [3].

I will update as more information becomes available about the posting of the third and final draft.

DSM-5 proposals with the most relevance for us are the proposals of the “Somatic Symptom Disorders” Work Group for the revision of existing DSM-IV “Somatoform Disorders” categories. The SSD Work Group’s current proposals can be found on the DSM-5 Development website [4].

DSM-5 Reform iPetition for professionals:

An Open Letter and Petition sponsored by an ad hoc committee of the Society for Humanistic Psychology (Division 32 of the American Psychological Association), in alliance with several other American Psychological Association Divisions, has attracted nearly 11,000 signatures with 40 mental health professional bodies and mental health organizations publicly endorsing the Open Letter [5].

The “Coalition for DSM-5 Reform” committee is calling on the American Psychiatric Association to submit its draft proposals for new categories and criteria for DSM-5 to independent scientific review.

Please note that the Society for Humanistic Psychology iPetition is for signing by mental health professionals and allied mental health professionals; it is not intended for signing by patients.

American Psychiatric Publishing serves “cease and desist” letters and threats of legal action against Suzy Chapman:

The site formerly operating under the subdomain dsm5watch.wordpress.com and known as DSM-5 and ICD-11 Watch is now known as Dx Revision Watch Monitoring the development of DSM-5, ICD-11, ICD-10-CM and operating at http://dxrevisionwatch.wordpress.com/

The issuing of legal threats on behalf of the American Psychiatric Association, just before Christmas, has generated considerable interest and outrage amongst blogging mental health professionals [6].

I am collating commentaries from Allen Frances MD, who had chaired the DSM-IV Task Force, Bernard Carroll MD, Margaret Soltan PhD, Dan Carlat MD, Howard Brody MD, PhD, Jack Carney DSW, author Gary Greenberg, Steve Balt MD, Paula J. Caplan PhD, Mindhacks, Daniel Lende, 1 Boring Old Man (Mickey Nardo MD), James Gaulte MD, and advocates in Post #123, on this page of my site: http://wp.me/pKrrB-1Bi

References:

1] DSM-5 Development site

2] DSM-5 Timeline

3] DSM-5 Task Force Ponders Round 2 of Public Feedback, Deborah Brauser for Medscape Medical News, August 31, 2011

4] Somatic Symptom Disorders

Complex Somatic Symptom Disorder (CSSD) criteria

Simple Somatic Symptom Disorder (SSSD) criteria

Key documents:

       Disorders Description

       Rationale/Validity Propositions

5] Coalition for DSM-5 Reform (an ad hoc committee of the Society for Humanistic Psychology, Division 32 of the American Psychological Association) Open Letter and Petition for Professionals: http://dsm5-reform.com/

6] Coverage of APA’s threats of legal action against Suzy Chapman: http://wp.me/pKrrB-1Bi

Suzy Chapman
_____________________

http://dxrevisionwatch.wordpress.com
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