{"id":24152,"date":"2012-06-07T16:40:50","date_gmt":"2012-06-07T20:40:50","guid":{"rendered":"http:\/\/1boringoldman.com\/?p=24152"},"modified":"2012-06-07T17:23:48","modified_gmt":"2012-06-07T21:23:48","slug":"international-classification-of-diseases-clinical-modification-1","status":"publish","type":"post","link":"https:\/\/1boringoldman.com\/index.php\/2012\/06\/07\/international-classification-of-diseases-clinical-modification-1\/","title":{"rendered":"international classification of diseases, clinical modification-1…"},"content":{"rendered":"
\n\n\n<\/table>\n

<\/p>\n

The original DSM [DSM-1, 1952] was adapted from the classification system of our Armed Forces after World War II and was not keyed to the International Classification of Disease [ICD-7<\/font><\/strong>] which had only an embryonal Mental Illness section. Says Wikipedia<\/font><\/strong><\/u><\/a> of the DSM-II [1968]:<\/div>\n
\n
Although the APA was closely involved in the next significant revision of the mental disorder section of the ICD [version 8 in 1968], it decided to go ahead with a revision of the DSM. It was published in 1968, listed 182 disorders, and was 134 pages long. It was quite similar to the DSM-I. The term "reaction" was dropped, but the term "neurosis" was retained. Both the DSM-I and the DSM-II reflected the predominant psychodynamic<\/span> psychiatry, although they also included biological perspectives and concepts from Kraepelin’s system of classification…<\/sup><\/div>\n<\/blockquote>\n
The DSM-II was keyed to the ICD-8<\/font><\/strong> [same diagnosis code numbers]. By treaty, the official diagnostic system for medicine in the United States in now the ICD-9-CM<\/font><\/strong> since 1979:<\/div>\n
\n
International Classification of Diseases, Clinical Modification<\/em> (ICD-9-CM) is an adaption created by the U.S. National Center for Health Statistics (NCHS) and used in assigning diagnostic and procedure codes associated with inpatient, outpatient, and physician office utilization in the United States. The ICD-9-CM is based on the ICD-9 but provides for additional morbidity detail.<\/sup><\/div>\n<\/blockquote>\n
The ICD-10<\/font><\/strong><\/u><\/a> was completed in 1990 and came into use in 1994: <\/div>\n
\n
ICD-10 Adoption was relatively swift in most of the world. Several materials are made available online by WHO to facilitate its use, including a manual, training guidelines, a browser, and files for download… Adoption of ICD-10 has been slow in the United States. Since 1979, the USA had required ICD-9-CM codes for Medicare and Medicaid claims, and most of the rest of the American medical industry followed suit. On 1 January 1999 the ICD-10 (without clinical extensions) was adopted for reporting mortality, but ICD-9-CM was still used for morbidity<\/span>. Meanwhile, NCHS received permission from the WHO to create a clinical modification of the ICD-10, and has production of all these systems.<\/sup><\/div>\n<\/blockquote>\n
Recently, HHS has postponed changing from ICD-9-CM to ICD-10-CM until 10\/01\/2014, and since the ICD-11 is soon to be released, may skip the ICD-10 altogether: <\/div>\n
\n
On August 21, 2008, the US Department of Health and Human Services proposed new code sets to be used for reporting diagnoses and procedures on health care transactions. Under the proposal, the ICD-9-CM code sets would be replaced with the ICD-10-CM code sets, effective October 1, 2013.On April 17, 2012 the Department of Health and Human Services  published a proposed rule that would delay, from October 1, 2013 to October 1, 2014, the compliance date for the ICD-10-CM and PCS.<\/sup><\/div>\n<\/blockquote>\n
What does it all mean?<\/font><\/strong> The simplest meaning  is that the ICD-9-CM is the official diagnostic system for the United States. The DSM’s codes are the same as the ICD-9-CM. So the answer to the question, "Can one use the ICD-9-CM as a diagnostic manual rather than the DSM-IV\/DSM-5?<\/font><\/strong><\/em>" for coding is a resounding "Yes.<\/font><\/strong><\/em>" "In a way, you already are using the ICD-9-CM.<\/font><\/strong><\/em>" But, like all great answers, it only brings up more questions, like…<\/div>\n
\n
    \n
  1. If that’s true, why do we even have a separate DSM?<\/font><\/strong><\/em><\/li>\n
  2. What’s the CM about?<\/font><\/strong><\/em><\/li>\n
  3. Is the ICD-9-CM as vulnerable to the whims of its creators as the DSM?<\/font><\/strong><\/em> <\/li>\n
  4. What are the differences between the ICD-9-CM and the DSM-IV? DSM-5?<\/font><\/strong><\/em><\/li>\n
  5. Is the ICD-9-CM easy to use? accessible? affordable?<\/font><\/strong><\/em><\/li>\n
  6. What changes are coming in the ICD-10-CM? ICD-11-CM?<\/font><\/strong><\/em><\/li>\n<\/ol><\/div>\n
    … and I am clueless, but the questions are of interest. It seems like something productive to explore, given the circus atmosphere of the APA’s DSM-5 Revision at this point. So I named this post international classification of diseases, clinical modification-1…<\/font><\/strong><\/em> as if there’s some future point at which all the questions might be something I’m going to write about. I say "might be" because I’m not even sure that they’re the right questions, but they’ll do for the moment…<\/div>\n
    \n
    Mental Health Clinicians Can Use ICD-10-CM<\/font><\/a>, What Should Counselors do about DSM-5?<\/font><\/a>, Dx Revision Watch<\/font><\/a><\/sup><\/div>\n","protected":false},"excerpt":{"rendered":"

    The International Statistical Classification of Diseases and Related Health Problems [most commonly known by the abbreviation ICD] is a medical classification that provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. Under this system, every health condition can be assigned […]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-24152","post","type-post","status-publish","format-standard","hentry","category-politics"],"_links":{"self":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/24152","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/comments?post=24152"}],"version-history":[{"count":29,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/24152\/revisions"}],"predecessor-version":[{"id":24180,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/posts\/24152\/revisions\/24180"}],"wp:attachment":[{"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/media?parent=24152"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/categories?post=24152"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/1boringoldman.com\/index.php\/wp-json\/wp\/v2\/tags?post=24152"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

The International Statistical Classification of Diseases and Related Health Problems<\/font><\/strong><\/a><\/u> [most commonly known by the abbreviation ICD<\/font><\/strong>] is a medical classification that provides codes to classify diseases and a wide variety of signs, symptoms, abnormal findings, complaints, social circumstances, and external causes of injury or disease. Under this system, every health condition can be assigned to a unique category and given a code, up to six characters long. Such categories can include a set of similar diseases. The International Classification of Diseases is published by the World Health Organization [WHO] and used worldwide for morbidity and mortality statistics, reimbursement systems, and automated decision support in medicine. This system is designed to promote international comparability in the collection, processing, classification, and presentation of these statistics.<\/sup><\/em><\/td>\n<\/tr>\n