Proposal ID : 2211
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Proposal State : Accepted
Proposal for Update
Implementation Date : 1/2018
Originator :
Kristy Mabon -
Last Update made by :
Paula Tonel
Creation Date :
16-Mar-2016 19:43 CET
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Last Update :
27-Sep-2016 15:01 CET
Previously Discussed in the group(s):
Primary Code Affected :
G93.3
Secondary Codes Affected :
None
Volumes Affected :
1,3
Proposal Type :
Change to a code description that enhances the description rather than changes the concept
Change Reason :
Need to reflect a change in clinical terminology
Detailed Description
Volume 1 - Tabular List A85 Other viral encephalitis, not elsewhere classified ... Excl.: benign myalgic encephalomyelitis (G93.3)
... G04 Encephalitis, myelitis and encephalomyelitis ... Excl.: benign myalgic encephalomyelitis (G93.3) ...
G93.3 Postviral fatigue syndrome Benign mMyalgic encephalomyelitis
Volume 3 - Alphabetical Index Encephalomyelitis (see also Encephalitis) G04.9 - acute disseminated (postimmunization) G04.0 - - postinfectious G04.0 - benign myalgic G93.3
- due to or resulting from vaccination (any) G04.0
- equine Venezuelan A92.2† G05.1*
- myalgic, (benign) G93.3 - postchickenpox B01.1† G05.1* ...
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Rationale
The term “benign myalgic encephalomyelitis” was first introduced in the UK in 1956 by a former Chief Medical Officer (Sir Donald Acheson). The word "benign" was used because it was thought at the time that the disorder was not fatal (as poliomyelitis could be, with which it had some similarity), but it was quickly realized by clinicians that myalgic encephalomyelitis (ME) was not a"benign" condition, as it has such high morbidity (i.e. such a lot of suffering and ill-health), so by 1988 clinicians had stopped using the word "benign" and referred to it as myalgic encephalomyelitis (ME). However, the ICD still uses the term "benign" in its classification. We propose that this be revised in ICD-10.
URC (Sep 27, 2016): this proposal was accepted in 2016.