Version 1 - ME agenda
DSM Directory | Document 6
APA DSM DSM-IV DSM-V WHO ICD ICD-10 ICD-11 American Psychiatric Association Diagnostic and Statistical Manual of Mental Disorders World Health Organization Classifications DSM Revision Process DSM-ICD Harmonization Coordination Group International Advisory Group Global Scientific Partnership Coordination Group for Revision of ICD Mental and Behavioural Disorders ICD Update and Revision Platform WHO Collaborating Centre DSM-V Task Force DSM-V Somatic Distress Disorders Work Group CISSD Project Somatoform Somatisation Somatization Functional Somatic Syndromes Myalgic encephalomyelitis ME
Chronic fatigue syndrome CFS PVFS Fibromyalgia FM IBS CS CI MUS
Document 6: DSM-IV and ICD-10 classifications around the so-called Somatoform Disorders and Functional Somatic Syndromes, Neurasthenia, ME, PVFS, CFS
DSM-IV Codes and Categories for Somatoform Disorders and ICD-10 Equivalents
DSM-I V ICD-10
Code Category Code Category
300.81 Somatization disorder F45.0 Somatization disorder
300.81 Undifferentiated somatoform disorder F45.1 Undifferentiated somatoform disorder
300.11 Conversion disorder F44. Dissociative (conversion) disorders
307.80 Pain disorder F45.4 Persistent somatoform pain disorder
300.7 Hypochondriasis F45.2 Hypochondriacal disorder
300.7 Body dysmorphic disorder
300.81 Somatoform disorder not otherwise specified F45.3 Somatoform autonomic dysfunction
F45.8 Other somatoform disorders
F45.9 Somatoform disorder unspecified
F48.0 Neurasthenia (in other neurotic disorders category)
APA
DSM-IV (Diagnostic and Statistical Manual for Mental Disorders) online:
ICD
International Statistical Classification of Diseases and Related Health Problems 10th Revision (ICD-10) Version for 2007
Tabular List of inclusions and four-character subcategories:
ICD-10 Chapter V
Mental and behavioural disorders (F00-F99)
Neurotic, stress-related and somatoform disorders (F40-F48)
ICD-10 Chapter VI
Diseases of the nervous system (G00-G99)
Other disorders of the nervous system (G90-99)
G93.3 Postviral fatigue syndrome
Benign myalgic encephalomyelitis
Images of the entry for Chronic Fatigue Syndrome, WHO ICD-10
ICD-10 Chapter XVIII
Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified
(R00-R99)
R53 Malaise and fatigue
Asthenia NOS
Debility:
· NOS
· chronic
· nervous
General physical deterioration
Lethargy
Tiredness
Excludes: debility:
· congenital ( P96.9 )
· senile ( R54 )
exhaustion and fatigue (due to)(in):
· combat ( F43.0 )
· excessive exertion ( T73.3 )
· exposure ( T73.2 )
· heat ( T67.- )
· neurasthenia ( F48.0 )
· pregnancy ( O26.8 )
· senile asthenia ( R54 )
fatigue syndrome ( F48.0 )
· postviral ( G93.3 )
ICD-10 Chapter V
Mental and behavioural disorders (F00-F99)
Neurotic, stress-related and somatoform disorders (F40-F48)
F48 Other neurotic disorders
F48.0 Neurasthenia
Considerable cultural variations occur in the presentation of this disorder, and two main types occur, with substantial overlap. In one type, the main feature is a complaint of increased fatigue after mental effort, often associated with some decrease in occupational performance or coping efficiency in daily tasks. The mental fatiguability is typically described as an unpleasant intrusion of distracting associations or recollections, difficulty in concentrating, and generally inefficient thinking. In the other type, the emphasis is on feelings of bodily or physical weakness and exhaustion after only minimal effort, accompanied by a feeling of muscular aches and pains and inability to relax. In both types a variety of other unpleasant physical feelings is common, such as dizziness, tension headaches, and feelings of general instability. Worry about decreasing mental and bodily well-being, irritability, anhedonia, and in its initial and middle phases but hypersomnia may also be prominent.
Fatigue syndrome
Use additional code, if desired, to identify previous physical illness.
Excludes: asthenia NOS ( R53 )
burn-out ( Z73.0 )
malaise and fatigue ( R53 )
postviral fatigue syndrome ( G93.3 )
psychasthenia ( F48.8 )
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