Mortality Forum: 2021-03-01 Q1 – Certain Conditions Originating in the Perinatal Period (P00-P96)_Update 1

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Mar 2, 2021, 7:34:26 AM3/2/21
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Mortality Forum: 2021-03-01 Q1 – Certain Conditions Originating in the Perinatal Period (P00-P96)_Update 1

 

Comment from Sue Walker, Australia

 

Hi Mmamokete – it’s great to be getting some discussions from South Africa!

 

Codes from chapter XVI (‘P codes’) can be used for decedents of any age, so long as the condition being coded began in the perinatal period – if you look right at the start of the chapter, there is a relevant inclusion note that states ‘Incl.: conditions that have their origin in the perinatal period even though death or morbidity occurs later’.

 

Stillbirth NOS and fetal death of unspecified cause is coded to P95.

 

Neonatal diarrhoea that is NOS or infectious is coded to A09.0 but non infective diarrhoea is coded to P78.3. See the inclusion and exclusion notes at each of these codes:

 

A09.9  Gastroenteritis and colitis of unspecified origin

    Neonatal diarrhoea NOS

 

P78.3  Noninfective neonatal diarrhoea

Excl.:

    neonatal diarrhoea:

        NOS (A09.9)

        infectious (A09.0)

 

Regards,

Sue

 

 

Comment from Patricia Wood, Canada

 

Dear Mmamokete,

 

As Sue says, it’s wonderful to hear from you!  I will only add to Sue’s response that ICD-10 code P783 Noninfective neonatal diarrhea was updated a number of times by the WHO-FIC Network Update and Revision Committee (URC), so the current content, as detailed by Sue, is not apparent in print versions of ICD-10. 

 

Details of official WHO updates to ICD-10 can be found at: https://www.who.int/standards/classifications/classification-of-diseases/list-of-official-icd-10-updates

 

A fully updated 2019 version of ICD-10 can be found at:

https://icd.who.int/browse10/2019/en#/

 

All the best,

 

Patricia

 

 

Mortality Forum: 2021-03-01 Q1 – Certain Conditions Originating in the Perinatal Period (P00-P96)

 

A question from Mmamokete, Statistics South Africa

 

Dear Colleagues

 

I want to check if there are changes in the following code for children:


1. P96 invalid for Stillbirths (death type 2) except for P96.8
2. P codes invalid for age greater than 28 days except P07 which is valid up to 1 year
3. P codes invalid for age greater than 28 days except the codes (P350 - P399, P510 - P519, P570, P578, P579, P20, P23, P24, P000 - P009, P580 - P589, P590 - P599, P800 - P839 and P77) which are valid up to 3 months.

I have also noticed that IRIS code P78- for diarrhea (A09-) for children up to 1 year.

Please advise

Regards

Mmamokete
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