In Germany, 3 syndromes long associated with mold and other toxic chemical exposures, including Multiple Chemical Sensitivities, have been classified (and coded) as diseases, with MCS classified as a poisoning, in the German modification of the international ICD-10. The ICD-10-GM is under the Social Security Code V in the Federal Republic of Germany prescribed diagnostic classification. We hope that, on an international basis, including throughout Europe and the Americas, this coding is adopted. Pointing out the information, below, to your USA or Canadian physicians may assist them to understand that the agonizing symptoms that these poisonings cause are real. We salute the German Institute of Medicine for their wisdom in being among the first to classify these 21st century diseases (SMH).
Note: ICD is the International Classification of Diseases. Long story short, MCS is now a real disease of toxic and/or allergic origin in Germany.
German Institute of Medicine
Documentation and Information
September 4, 2008
RE: MCS, CFS, FMS: coding according to ICD-10-GM
The above mentioned Diseases in the ICD-10-GM is classified as follows:
MCS (Multiple Chemical Sensitivity) is classified under:
T78.4 ... Allergy, not otherwise specified;
Chapter 19 (injuries, poisoning and certain other consequences of toxic causes), Section T66-T78 (Other and unspecified effects of external causes)
CFS (Chronic Fatigue Syndrome) is classified under:
G93.3 ... Postviral fatigue syndrome, Benign myalgic encephalomyelitis ;
Chapter 6 (diseases of the nervous system), section G90-G99 (Other diseases of the nervous system)
FMS (Fibromyalgia Syndrome) is classified under:
M79.70 ... Fibromyalgia;
Chapter 13 (diseases of the musculoskeletal system and connective tissue), section M60-M79 (Diseases of soft tissues), Subsection M70-M79 Other disorders of soft tissue)
An allocation of the above mentioned illnesses to chapter 5 (Mental and Behavioral Disturbances) is not intended on the part of the ICED-10-GM. The ICD-10-GM is the German adaptation (GM = "German modification"
) of the WHO (World Health Organization) created the international ICD-10, which many countries of this world will use. It is therefore assumed that the above mentioned diseases are uniformly classified in other states.
The ICD-10-GM is under the Social Security Code V in the Federal Republic of Germany prescribed diagnostic classification. To my knowledge there are no plans to replace the ICD-10-GM with another register.
Dr. Ursula Kuppers
Medical Working Group Classifications