Wiki Is "With Exacerbation" coded differently?

Orthocoderpgu

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Patient has COPD 496

Patient has COPD with exacerbation.

Is this coded differently?
 
coder/him coordinator

Hi I am a coder and HIM Coordintor for a rehabilitation hospital in Greenwood SC and we treat a lot of patient with COPD with exacerbation and the combo code for this is 491.21.
 
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