On October 1, 2015, fibromyalgia, finally has its own official diagnosis code of ICD-10-CM codes formally adopted in the US

ICD-10-CM, acronym for the International Classification of Diseases, 10th Revision, Clinical Modification, is a list of diagnostic codes provided by Medicare Services Centers for Medicaid and the National Health Statistics Centre to be used for medical information US-ICD-10 CM is based on ICD-10, the statistical classification of diseases, published by the World Health Organization.

ICD codes are used throughout the world in the health industry, including doctors, insurance companies and government agencies. They are used to identify and classify diseases and conditions diagnosed.

Before 1 October, when the diagnosis of a patient with fibromyalgia, doctors had to use the general code 729.1 – myalgia and myositis, unspecified. Any type of muscle pain or inflammation could be included in that code. But now FM is recognized as a separate entity with its own code: M79.7 – fibromyalgia.

Why is it important?

There are many potential benefits of an ICD-10-CM code for fibromyalgia, but four in particular come to mind.

The fact that fibromyalgia has its own diagnostic code makes it almost impossible for doctors who continue to insist that it is not real. The World Health Organization and the US government gave its official approval.
The ICD-10-CM codes are used by insurance companies, Medicare and Medicaid reimbursement when decisions are taken. So far, some insurance companies refuse to cover treatments for fibromyalgia, insisting it was not a real disease. They can not say the same.
Despite claims of disability that are not determined solely on the basis of a diagnosis that has recognized fibromyalgia as a legitimate diagnosis will eliminate one of the reasons is sometimes used as a basis for denial and can cause disability holds a little easier win.
A different diagnosis code will improve coherence in research on fibromyalgia. Ginevra Liptaň, MD pointed out in his recent article in the National Pain Report, “The new code will also allow more precise studies on the treatment of fibromyalgia results, as data from many of these observational studies are collected by screening diagnostic codes. Without its own diagnostic code, fibromyalgia studies have been hampered by gouaches data including patients who actually have fibro, but some other disease that causes muscle pain. ”
The culmination of a long journey

The trip to the legitimacy fibromyalgia has been long and arduous. After leaving languish in obscurity for many years, one by one, US government agencies have begun to recognize that fibromyalgia is real. The FDA has opened the way in 2007 as the first drug approved for the treatment of FM. Then in 2012, the Social Security Administration issued a decision that recognizes fibromyalgia as a legitimate impediment. Now, in 2015, Medicare and Medicaid Service Centers and the National Center for Health Statistics have an official diagnosis FM code.

This completes the trio of legitimacy and is a worthy celebration in March!

Karen Lee Richards is ProHealth Chief Editor. A fibromyalgia patient has, she co-founded the nonprofit organization now known as the National Fibromyalgia Association (NFA) and served as its vice president for eight years. He was also the executive editor of fibromyalgia aware, the first full-color, glossy magazine dedicated to FM and other invisible illnesses. After leaving the NFA, Karen served as a guide for Fibromyalgia and Chronic Fatigue Syndrome The New York Times Company, and then as the guide for the network Pain Chronic Health HealthCentral.

Add a Comment

Your email address will not be published. Required fields are marked *