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Fibromyalgia Finally Recognized with ICD-10-CM Diagnosis Code

Posted on October 14, 2015 by Disability Help Group

Diagnostic acknowledgement has finally come for the estimated five million American adults who suffer from fibromyalgia. The International Classification of Diseases (ICD-10-CM), the code manual for all diagnosed and classified diseases, now officially recognizes fibromyalgia as a diagnosable disease.

This change went into effect October 1, 2015 and can be retroactively applied for reimbursement purposes on medical billing records. Prior to the update, fibromyalgia was generically diagnosed with a code for unspecified myalgia and myositis. With its own billing code, patients can now obtain better medical records that show a history of this chronic pain condition and how it impacts their lives both physically and financially.

In July 2012, the Social Security Administration (SSA) ruled that fibromyalgia is a disabling condition that may qualify for disability benefits. The ruling included the conditions that must be met in order to declare the claimant disabled due to fibromyalgia. Thanks to fibromyalgia now having its own billing code, more patients may get coverage for their care for this disease, and it may become easier to provide medical evidence that you have suffered from the condition for an extended period of time.

Disability Help Group Can Help Fibromyalgia Sufferers Get Disability Benefits

Fibromyalgia is a historically difficult disability to prove, as there is no simple, quantifiable test to diagnose the disease. Instead, qualifying claims for fibromyalgia rely heavily on doctor reports and assessments along with work history and personal notes on how the disease impacts a claimant’s life. If you have filed a claim for disability benefits due to fibromyalgia and were denied SSDI or SSI, contact us online or call us at 1-(800)-800-3332.