Ok. A counsellor isn't a psychologist though... so I hope her boss is a Ph.D or Shrink. @joeylittle may know the specifics for WHO within the USA, as to whether or not they recognise it within diagnostic and insurance aspects.I checked with my counselor Anthony, and she said she's gonna double check with her boss
She's incorrect. WHO sets the diagnostic codes, via the ICD.last she knew WHO has zero authority/business to make any determinations inside the US. I should find out tomorrow about that.
So, technically, the WHO is actually at the top of the chain, code-wise. Link Removed (my bolding for emphasis):Since 2003, ICD codes have been mandatory (per HIPAA) for third-party billing and reporting for all electronic transactions for billing and reimbursement. They are the World Health Organization (WHO)’s International Classification of Diseases and Related Health Problems and used in conjunction with CPT for billing.
Because the DSM endorses (and therefore lists) most mental / behavioral health ICD codes (but excludes some), and because it's the only accepted guide to ICD for our industry, many providers believe that DSM and ICD codes are separate. They're not: DSM is ICD. Most of us use the language "DSM codes", but there is no list of DSM codes separate from ICD codes. DSM directs you to the correct ICD diagnosis code(s). Even if psychologists record DSM diagnostic codes for billing purposes, payers recognize the codes as ICD-9-CM, the official version of ICD currently used in the United States.
Yeah, but if it's not integrated into the DSM or ICD, there's no way to assign it a number and slap it on a person.The issue here is, cPTSD has been recognized by practitioners and state health agencies as far back as 1988 that I know of..
In DSM V and ICD-10,. DESNOS is still a coding option.Another name sometimes used to describe the cluster of symptoms referred to as Complex PTSD is Disorders of Extreme Stress Not Otherwise Specified (DESNOS)
They cite the WHO beta draft of ICD-11 for that. I've also seen that info in this guide to the diagnostic differences between DSM and ICD, in re: PTSD.The current ICD-10 includes a diagnosis of Enduring Personality Change After Catastrophic Experience (EPCACE) in the Disorders of adult personality and behavior section. This is regarded as equivalent to Complex PTSD
Use as many diagnosis codes that apply to document the patient’s complexity and report the patient’s symptoms and/or adverse environmental circumstances. Once a definitive diagnosis is established, report the appropriate definitive diagnosis code(s) as the primary code, plus any other symptoms that the patient is exhibiting as secondary diagnoses that are not part of the usual disease course or are considered incidental.
You just need to stop talking with complete and utter idiots. I'm not talking with you about this further, as you just seem to be trolling, argumentative, and ignorant to facts: ResearchOk, this is the reply I got-
"Well, first of all the WHO is a policy organization. Not research or treatment, but...
Also the only mental health policy initiative they have to my knowledge is depression.
Your therapist said -Given all of this - it's not really surprising that most docs would prefer to tell a patient they are diagnosed with c-PTSD, as a kind of shorthand. They can't list it as the actual diagnosis, because it's not there. But there are ample codes to assign that reflect the spectrum of symptoms.
Correct, it does not guide treatment. None of the diagnostic manuals do.As far as the ICD coding system it's just that a coding system for quanitative tracking of incidence and prevalence of health conditions. It does not guide treatment. If it is included, it will only be calling a rose by another name.
I think the problem is lack of communication as well, esp. on this thread.I think what the problem is here is the lack of communication. Too many doctors, such as thosethat initially diagnosed me with CPTSD (which were licensed physicians, namely 2 neuropsychs. 1 psych & 1 neurologist, and I can get you their names if you want them).
And like I said (which is the same, but with more detail):Previously cptsd has been called "personality disorders"
During the DSM IV and IV revisions (lined up with ICD-9) the common practice was to use the code for Disorders of Extreme Stress Not Otherwise Specified (DESNOS), as a stand-in representing Complex PTSD.
In DSM V and ICD-10,. Link Removed
The current ICD-10 includes a diagnosis of Enduring Personality Change After Catastrophic Experience (EPCACE) in the Disorders of adult personality and behavior section. This is regarded as equivalent to Complex PTSD
Is about, specifically. I'm guessing (hoping?) you want to talk to a doc about this:I'm going to find a doctor and get his/her take on this.
FWIW, quantified medical often trumps quantified psychiatric. However they classed your TBI, it would probably have been more meaningful to most doctors as a basis for any psych diagnosis. You'd need to go back to the ICD - not for psychiatry, but for neurology - as well as relevant research, and look at what was considered 'within norms' for enduring personality changes following brain injury between 1987 and 1992.What confuses others, and myself, is how I was able to get enlisted in the US Army in 1992. I gave the USA ALL of my medical records, including all medical and psych records regarding my TBI in 1987, including the names and contact information for every doctor involved. So when they accepted those, I considered it good to go. The recruiter considered it good to go...For a long time my TBI was labeled "CHI" & "SCHI", for Closed Head Injury and Severe Closed Head Injury. Glasgow Coma score was used, not the Rancho Trauma Diagnosis Code.