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==<span id="icd10">ICD-10 classification of ME/CFS</span >== {{bookmark|ICD-10}} The '''ICD-10''' lists [[myalgic encephalomyelitis]], [[chronic fatigue syndrome]], and [[Postviral fatigue syndrome|postviral syndrome]] (PVFS) as the same neurological disease, within the neurological disorders section.<ref name="gibson2012">{{Cite web|url=http://www.erythos.com/gibsonenquiry/docs/me_inquiry_report.pdf | title = Inquiry into the status of CFS / M.E. and research into causes and treatment (The Gibson Report) | last =Group on Scientific Research into Myalgic Encephalomyelitis | first = | date = Nov 2006 | website = |format = PDF | archive-url=|archive-date=|url-status=|access-date=2018-10-14|quote=Andre L’Hours of the WHO Head Office confirmed this definition formally in writing in 2001 and again in 2004 to Lord Warner. The Group was concerned to find that there is no mention of this classification in the Chief Medical Officers Report 2002 or in the current NICE guidelines. CFS is currently not present under any code in the ICD-10 on the WHO website current Tabular version. However, it is in the current Index version, according to the WHO North American Collaborating Center representative, who stated via email in September 2006 that "Chronic fatigue syndrome is indexed in the following manner in ICD-10:<br >Syndrome- fatigue F48.0- - <br >- chronic G93.3- -<br > - postviral G93.3" 8<br >The ICD-10 categorises Lethargy and Tiredness under section R “Symptoms, signs and abnormal clinical and laboratory findings, not elsewhere classified” specifically under R53 ‘Chronic Malaise and Fatigue’. It specifically excludes ME and PVS (G93.3) and fatigue syndrome (48.0) from this definition.<br >The ICD-10 lists Fatigue syndromes under Section F48.0 Neurasthenia, but this section explicitly excludes ME and PVS (G93.3) or Malaise and Fatigue (R53).The WHO in Geneva holds an internationally recognised classification that ME is a neurological disease.}}</ref> *Diseases of the nervous system ::Other disorders of brain :::Other disorders of the nervous system ::::'''G93.3 Postviral fatigue syndrome''' ::::Benign [[myalgic encephalomyelitis]]<ref name="icd10-2016">{{Cite web|url=https://icd.who.int/browse10/2016/en#/G93 | title = G93 Other diseases of the nervous system|work =ICD-10 Version:2016 | last =World Health Organization | first= | authorlink = | date = 2016 | archive-url=|archive-date=|url-status=|access-date=2019-04-13}}</ref> [[Myalgic encephalomyelitis]] (ME) has been classified by the WHO as a [[neurological disorder|neurological disease]] since 1969<ref name="ICD-8" /> and has occurred in both [[Epidemic myalgic encephalomyelitis|epidemic]] and sporadic form since at least the 1930s, although is probably much older. ===Malaise and fatigue=== The World Health Organization has stated that ME and CFS can only be classed as a neurological disorder and ''cannot'' be classified under the following "malaise and fatigue" diagnosis (in the General signs, symptoms and abnormal findings), or as [[neurasthenia]] or Fatigue syndrome in the [[:Category:Mental disorders |mental and behavioral disorders category]]: '''R53.83 Malaise and fatigue''' categorizies "lethargy" and "tiredness" which are regarded as "Signs, symptoms and abnormal findings" rather than a specific disease. '''F48.0 Neurasthenia''' This is classed as a neurotic (anxiety) disorder, within the [[:Category:Mental disorders |mental disorders]] section of the ICD-10; it is describes this as "increased fatigue" which may be after mental effort, or emphasizing "feelings of bodily or physical weakness and exhaustion after only minimal effort", with an inability to relax and "a feeling of muscular aches and pains". In the ICD-10 this excludes burn-out (Z73.0), malaise and fatigue (R53) and postviral fatigue syndrome (G93.3).<ref name="NeurastheniaICD10">{{Cite web|url=https://icd.who.int/browse10/2016/en#/F48.0 | title = F48.0 Neurasthenia - ICD-10 Version:2016 | last =World Health Organization | first= | authorlink = World Health Organization|website=World Health Organization|archive-url=|archive-date=|url-status=|access-date=2019-04-13}}</ref><ref name="gibson2012" /><br> Chronic fatigue with no known cause which does not meet the criteria for [[chronic fatigue syndrome]] is referred to as either [[idiopathic chronic fatigue]] or a [[medically unexplained symptoms|medically unexplained symptom]] in medical literature.
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