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Wiki E.R. E/M HPI for Sickle Cell-Is Acute Exacerbation Considered 'Chronic Condition' ?

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Alice J. Johnson

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Hello, I am auditing emergency room claims and I noticed that another auditor had made a determination for an acute exacerbation of sickle cell HPI to be a single chronic condition and this brought the rating down to an EPF for the history component, which brought the ER visit down to a 99283.

Somehow, it didn't seem right to label an acute exacerbation of a chronic condition as just a chronic condition.
To me, somehow that is like labeling a hyperglycemic incident as a chronic condition of diabetes?

Any thoughts?
 
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