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From: Nan Bernstein Ratner
Date: 07 Oct 2010
Time: 16:41:36 -0500
Remote Name: 129.2.25.203
Sorry, I didn't look at that URL carefully, and it is not the one I thought it was; please go to http://www.asha.org/Publications/leader/2010/100921/New-Codes.htm for an updated document from the most recent ASHA Leader (I will try to get ASHA to fix its search, because bad stuff came up when I tried to find it, and I KNOW what I am looking for :-( Anyhow, insurance ramifications are unclear, and many were not happy with the compromise move to 315, still in DSM territory in addition to ICD codes (the 400- and 700-series codes are not in DSM coverage areas). We carefully inserted the terminology of CHILDHOOD ONSET FLUENCY DISORDER in order to emphasize to payers that this is not a "developmental" disorder present from the onset of communicative development, because in fact, we don't have that documented in any cases (now I know I will hear lots of personal stories, but I stand by my statement. If anyone out there hears a toddler stutter from their first words, I want a videotape IMMEDIATELY!) ASHA, NSA and SFA are all providing guides you may request to state that stuttering cannot be automatically rejected just because of its placement in the 315 series. But for some people, it was taking stuttering out of the frying pan at 307 and putting it into the fire at 315. It's still a work in progress, as the DSM V is still in editing and no one has even tackled the American version of the ICD-10, what the world already uses. Nan