a “how-to”…

Posted on Sunday 3 February 2013

If you choose not to support the DSM-5, there’s nothing to it:

Unless you’ve had your head stuck in a bucket this last three years, you’ll be aware that the next edition of the American Psychiatric Association’s diagnostic manual is slated for release this May. APA has spent $25 million on the development of DSM-5. It will be published by American Psychiatric Publishing Inc. and is planned for release at the APA’s 166th Annual Meeting in San Francisco (May 18-22). A hardback copy of DSM-5 is going to set you back $199, though paid up members of the American Psychiatric Association are being offered a discount.

Psychiatrists, psychologists, primary health care physicians, therapists, counselors, social workers and allied health professionals don’t have to use DSM-5. Instead, they can use Chapter 5 of ICD-9-CM (Mental Disorders) and Chapter 5 of ICD-10-CM (Mental, Behavioral and Neurodevelopmental disorders), when ICD-10-CM is implemented*.

*Effective implementation date for ICD-10-CM (and ICD-10-PCS) is currently October 1, 2014. Until that time the codes in ICD-10-CM are not valid for any purpose or use.

Since 2003, ICD-9-CM diagnostic codes have been mandated for third-party billing and reporting by HIPAA for all electronic transactions for billing and reimbursement. The codes in DSM are crosswalked to ICD codes. So you can use ICD-9-CM. And when ICD-10-CM is implemented, it isn’t going to cost you a cent – it will be freely available on the internet. The ICD-10-CM draft, currently subject to partial code freeze, and its associated documentation can be accessed here on the CDC site; so you can already have a poke around:

International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

On January 23, Allen Frances, MD, who had oversight of the Task Force that developed DSM-IV had this to say about the $199 manual:

And if you’re using the DSM-IV or DSM-IVTR and converting the codes to ICD-9-CM, you can continue to do exactly what you’re doing until the ICD-10-CM is required…
    February 3, 2013 | 11:05 AM

    i was still thinking about pharmaceuticals research when this was posted


    “The health informatics software i2b2 — Informatics for Integrating Biology and the Bedside — was started in 2006, and has become something of a building block for several health information networks and research projects in genomics, pharmaceuticals and population health.”

    February 3, 2013 | 11:20 AM

    the link i posted earlier referenced tranSmart



    tranSMART is a knowledge management platform that enables scientists to develop and refine research hypotheses by investigating correlations between genetic and phenotypic data, and assessing their analytical results in the context of published literature and other work.”

    February 4, 2013 | 2:47 PM

    Off topic, from pharmalot regarding the new “sunshine” rules:

    “drugmakers will not be required to report payments to speakers at accredited CME events as long as they do not select the speakers or directly pay them.”
    “In finalizing the rule, however, the Obama administration believes that paying CME speakers constitutes an indirect payment that does not need to be reported under specific circumstances…”

    1BOM, I do not share your optimism. This a major way that money was funneled to KOLs before. This practically guts the law.

    Not to mention “There is at least one exception to the the reporting requirements – manufacturers and GPO’s are not required to report ownership or investment interests held by teaching hospitals.”

    Sorry for the sarcasm, but if this represents Obama’s progressive agenda on the ground. Well, ….

    Nick Stuart
    February 5, 2013 | 8:02 PM

    Interesting debate by the famous skeptic Steven Novella regarding the DSM5 here


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