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The title of the proposal

Proposal ID: A numerical ID automatically given by the system.

Proposal State: The state that the proposal is in (see the Proposal Lifecycle and the Changing the State of a Proposal sections of the User's Guide for more information)

Update or Revision Proposal: This field shows whether the proposal suggests an update that can be achieved in the usual ICD update cycle or whether it is made for the ICD-11 revision.

Primary Code affected: The primary ICD cide affected by this proposal. (See also the section: Selecting where to attach the proposal in the user's guide)

Secondary Codes affected: See the section: Selecting where to attach the proposal from the User's guide. Volumes Affected: The list of ICD volumes that will be changed as a result of this proposal.

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Change Reason: Similar to above, the originator selects this from a predefined list

Updates Specific to a Language Version*: This field is dislayed only when the proposal is suggesting a change to a specific language version of ICD. Not having this field means that the proposal applies to all language versions.

Detailed Description: This is where the user explains the proposal. He/She may provide the updated version of the ICD text using strikethrough text for the removed parts.

Rationale: This field includes the information on why this change is necessary.

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*optional fields: Displayed if relevant information is available

Proposal ID : 2204  -  Proposal State : Accepted Proposal for Update

Implementation Date :  1/2019

Originator : Andrew Brooke  -  Last Update made by : Paula Tonel

Creation Date : 21-Dec-2015 16:30 CET  -  Last Update : 14-Nov-2016 18:42 CET

Previously Discussed in the group(s):

Primary Code Affected : P28.0

Secondary Codes Affected : P22.0

Volumes Affected : 3

Proposal Type : Change to an existing index entry that changes the code assignment from one three-character category to another three-character category (movement of terms)

Change Reason : Need to create, delete or correct an index entry

Detailed Description

Volume 3 - Alphabetical Index


Conditions arising in the perinatal period

…

- deficiency, deficient

…

- - surfactant (lung)P28.0P22.0

 

Disease, diseased – see also Syndrome

…

- lung J98.4

…

- - rheumatoid (diffuse) (interstitial) M05.1† J99.0*

- - surfactant deficient, fetus or newborn P22.0

- Lyme A69.2
Archived Versions
14/11/2016 Paula Tonel
21/12/2015 Andrew Brooke
Rationale

Currently surfactant deficiency arising in the perinatal period is classified to P28.0 Primary atelectasis of newborn. However, research and clinical input from a Consultant Neonatologist indicates that surfactant deficiency causes respiratory distress and does not always result in atelectasis, therefore we request that this index entry is changed to direct to P22.0 Respiratory distress syndrome of newborn.


URC (Nov 14, 2016): this proposal was accepted in 2016

Supporting Publication Web Links
Comments
06-Jul-2016 18:25 CET by Kristy Mabon
Comment attached to the vote of the user for Round 1 of year 2016. Voted:Can't Decide
In ICD 11 there is a code strictly for surfactant deficiency and then specific codes for respiratory conditions associated with surfactant deficiency. Would it not be preferred to classify “surfactant deficiency” separately from the manifestation?
10-Jul-2016 03:26 CET by Olafr Steinum
Comment attached to the vote of the user for Round 1 of year 2016. Voted:Can't Decide
We support Kristy's comment
12-Jul-2016 12:44 CET by Lars Age Johansson
Comment attached to the vote of the user for Round 1 of year 2016. Voted:Can't Decide
Agree with Kristy.
12-Jul-2016 15:34 CET by Ulrich Vogel
Comment attached to the vote of the user for Round 1 of year 2016. Voted:Can't Decide
Kristy has a point but the question remain where to assign surfatant deficiency arising in the perinatal period till 11 will be implemented? Another question might be where to go if the deficiency occurs afer the perinatal period, which is possible, too (i.e. aquired in hyperbaric oxygen therapy)?
14-Jul-2016 10:13 CET by Kyung Seo
Comment attached to the vote of the user for Round 1 of year 2016. Voted:Can't Decide
According to the advisory of Korea's Group of Experts(Korean of Society of Neonatology), Respiratory distress syndrome of newborn is a disease whose major mechanism involves deficiency of surfactant, and primary atelectasis of newborn is failing to expand the alveoli, and is caused by various causes other than lung surfactant deficiency.There is a need to give the diease an independent sign.
14-Jul-2016 12:30 CET by Hazel Brear
Comment attached to the vote of the user for Round 1 of year 2016. Voted:Can't Decide
Need to consider comments.
22-Jul-2016 10:24 CET by Anne Elsworthy
Comment attached to the vote of the user for Round 1 of year 2016. Voted:Yes
We support the coding of surfactant deficiency arising in the perinatal period to P22.0 Respiratory distress syndrome of newborn as per the proposal. We have a coding standard which advises this already (and seem to have removed the existing ICD-10 index entry to P28.0). It may also be worth adding an index entry at the lead term Deficiency, deficient?
10-Aug-2016 11:44 CET by Ulrich Vogel
Comment attached to the vote of the user for Round 2 of year 2016. Voted:Can't Decide
Need to consider comments.
30-Aug-2016 17:07 CET by Lars Age Johansson
Comment attached to the vote of the user for Round 2 of year 2016. Voted:Can't Decide
Agree with Ulrich.
30-Aug-2016 22:12 CET by Kristy Mabon
Comment attached to the vote of the user for Round 2 of year 2016. Voted:Can't Decide
We need to give more consideration.
Our research suggests that surfactant deficiency does not only lead to respiratory distress syndrome (P22.0) but it can lead to respiratory failure (P28.5). Thus, would it not be preferred to continue to allow for classification of “surfactant deficiency” separately from the manifestation of RDS or RF?
01-Sep-2016 18:47 CET by Olafr Steinum
Comment attached to the vote of the user for Round 2 of year 2016. Voted:Can't Decide
Agree with comments
02-Sep-2016 08:46 CET by Anne Elsworthy
Comment attached to the vote of the user for Round 2 of year 2016. Voted:Yes
Agree with proposal as proposed
02-Sep-2016 14:45 CET by Kyung Seo
Comment attached to the vote of the user for Round 2 of year 2016. Voted:Can't Decide
See comment of 1st round.