Myalgic encephalomyelitis/chronic fatigue syndrome
ICD-10 G93.32 is a billable code used to indicate a diagnosis of myalgic encephalomyelitis/chronic fatigue syndrome.
Myalgic encephalomyelitis/chronic fatigue syndrome (ME/CFS) is a complex, debilitating disorder characterized by profound fatigue that is not improved by rest and may be worsened by physical or mental activity. The condition is often accompanied by a range of symptoms including muscle pain (myalgia), cognitive dysfunction, sleep disturbances, and autonomic dysfunction. Patients may experience post-exertional malaise, where symptoms worsen after exertion, leading to significant impairment in daily functioning. The etiology of ME/CFS is not fully understood, but it is believed to involve a combination of genetic, environmental, and immunological factors. Autonomic nervous system dysregulation is common, leading to symptoms such as orthostatic intolerance, which can manifest as dizziness or fainting upon standing. Hydrocephalus, while not a direct cause of ME/CFS, may present with overlapping symptoms, complicating diagnosis. Accurate diagnosis requires a thorough clinical evaluation, including a detailed history and symptom assessment, as there are no definitive laboratory tests for ME/CFS. The condition can significantly impact quality of life, necessitating a multidisciplinary approach to management.
Thorough documentation of patient history, symptom assessment, and treatment plans.
Patients presenting with unexplained fatigue, cognitive difficulties, and muscle pain.
Consideration of comorbid conditions and the need for a multidisciplinary approach.
Detailed neurological examination findings and any relevant diagnostic tests.
Patients with neurological symptoms such as cognitive dysfunction and autonomic instability.
Differentiating ME/CFS from other neurological disorders.
Used for follow-up visits for ME/CFS management.
Document history of present illness, review of systems, and treatment response.
Primary care providers should ensure comprehensive symptom documentation.
The primary symptoms include severe fatigue, post-exertional malaise, sleep disturbances, cognitive dysfunction, and muscle pain.
Diagnosis is based on clinical criteria, including the presence of fatigue lasting more than six months, post-exertional malaise, and other associated symptoms, after excluding other potential causes.
